Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-26T07:21:13.738Z Has data issue: false hasContentIssue false

Reciprocating procedure device for thyroid cyst aspiration and ablative sclerotherapy

Published online by Cambridge University Press:  17 September 2008

R R Sibbitt
Affiliation:
Division of Interventional Radiology, Department of Radiology, St Peter's Hospital, Helena, Montana, USA
D J Palmer
Affiliation:
Division of Interventional Radiology, Department of Radiology, St Peter's Hospital, Helena, Montana, USA
W L Sibbitt Jr*
Affiliation:
Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA
*
Address for correspondence: Wilmer L Sibbitt Jr, Professor, School of Medicine, 5th Floor ACC, DOIM, Mail Stop MSC10 - 5550, University of New Mexico Health Sciences Center, Albuquerque, NM 87131, USA. Fax: 505 272-3624 E-mail: [email protected]

Abstract

Most thyroid cysts are benign; however, they require aspiration if symptomatic or atypical on ultrasound scanning, and ablation with ethanol injection if recurrent. We have systematically studied the use of new safety technologies for surgical procedures, which protect both the surgeon and the patient. Here, we describe the use of one such technology, the reciprocating procedure device, which enables simpler, safer, more efficient and less painful thyroid cyst aspiration and therapeutic ablation.

Type
Short Communications
Copyright
Copyright © JLO (1984) Limited 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Galvan, G, Maurer, H. Emptying of goitre cysts by small needle aspiration. Deutsch Med Wochenschr 1977;102:829–30CrossRefGoogle ScholarPubMed
2 Sarda, AK, Bal, S, Duuta-Guuta, S, Kauur, MM. Diagnosis and treatment of cystic disease of the thyroid by aspiration. Surgery 1988;103:593–6Google ScholarPubMed
3 Smith, MD, Serpell, JW, Morgan, JL, Cheng, MS. Fine needle aspiration in the management of benign thyroid cysts. A N Z J Surg 2003;73:477–9CrossRefGoogle ScholarPubMed
4 Meskhi, I, Sikharulidze, E, Lomidze, N, Mizandari, M, Natmeladze, K. Effectiveness of percutaneous ethanol injection therapy in benign nodular and cystic thyroid diseases: 12-month follow-up experience. Georgian Med News 2006; Nov;(140):710Google Scholar
5 Monzani, F, Lippi, F, Goletti, O, Del Guerra, P, Caraccio, N, Lippolis, PV et al. Percutaneous aspiration and ethanol sclerotherapy for thyroid cysts. J Clin Endocrinol Metab 1994;78:800–2Google ScholarPubMed
6 Kim, DW, Rho, MH, Kim, HJ, Kwon, JS, Sung, YS, Lee, SW. Percutaneous ethanol injection for benign cystic thyroid nodules: is aspiration of ethanol-mixed fluid advantageous? AJNR Am J Neuroradiol 2005;26:2122–7Google ScholarPubMed
7 Mauz, PS, Maassen, MM, Braun, B, Brosch, S. How safe is percutaneous ethanol injection for treatment of thyroid nodule? Report of a case of severe toxic necrosis of the larynx and adjacent skin. Acta Otolaryngol 2004;124:1226–30CrossRefGoogle ScholarPubMed
8 Iacconi, P, Spinelli, C, Monzani, F, Miccoli, P. Percutaneous ethanol injection for thyroid cysts: a word of caution. Clin Endocrinol (Oxf) 1996;44:126CrossRefGoogle Scholar
9 Roh, JL. Intrathyroid hemorrhage and acute upper airway obstruction after fine needle aspiration of the thyroid gland. Laryngoscope 2006;116:154–6CrossRefGoogle ScholarPubMed
10 Noordzij, JP, Goto, MM. Airway compromise caused by hematoma after thyroid fine-needle aspiration. Am J Otolaryngol 2005;26:398–9CrossRefGoogle ScholarPubMed
11 Tomoda, C, Takamura, Y, Ito, Y, Miya, A, Miyauchi, A. Transient vocal cord paralysis after fine-needle aspiration biopsy of thyroid tumor. Thyroid 2006;16:697–9CrossRefGoogle ScholarPubMed
12 Hulin, SJ, Harris, KP. Thyroid fine needle cytology complicated by recurrent laryngeal nerve palsy and unnecessary radical surgery. J Laryngol Otol 2006;120:970–1CrossRefGoogle ScholarPubMed
13 Sun, JH, Chang, HY, Chen, KW, Lin, KD, Lin, JD, Hsueh, C. Anaerobic thyroid abscess from a thyroid cyst after fine-needle aspiration. Head Neck 2002;24:84–6CrossRefGoogle ScholarPubMed
14 Kornstein, MJ, Byrne, SP. The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. Arch Pathol Lab Med 2007;131:615–18CrossRefGoogle Scholar
15 Lydiatt, DD. Medical malpractice and the thyroid gland. Head Neck 2003;25:429–31CrossRefGoogle ScholarPubMed
17 Adams, D, Elliott, TS. Impact of safety needle devices on occupationally acquired needlestick injuries: a four-year prospective study. J Hosp Infect 2006;64:50–5CrossRefGoogle ScholarPubMed
18 Sibbitt, RR, Sibbitt, WL Jr, Nunez, SE, Kettwich, LG, Kettwich, SC, Bankhurst, AD. Control and performance characteristics of eight different suction biopsy devices. J Vasc Interv Radiol 2006;17:1657–69CrossRefGoogle ScholarPubMed
19 Sibbitt, WL Jr, Sibbitt, RR, Michael, AA, Fu, DI, Draeger, HT, Twining, JM et al. Physician control of needle and syringe during traditional aspiration-injection procedures with the new reciprocating syringe. J Rheumatol 2006;33:771–8Google ScholarPubMed
20 Moorjani, GR, Michael, AA, Peisjovich, A, Park, KS, Sibbitt, WL Jr, Bankhurst, AD. Patient pain and tissue trauma during syringe procedures: a randomized controlled trial. J Rheumatology 2008;35:1124–9Google ScholarPubMed
21 Sibbitt, RR, Sibbitt, WL Jr, Palmer, DJ, Bankhurst, AD. Needle aspiration of peritonsillar abscess with the new safety technology: The reciprocating procedure device. Otolaryngol Head Neck Surg 2008;139:307–9CrossRefGoogle ScholarPubMed
22 Khuri, SF, Henderson, WG, Daley, J, Jonasson, O, Jones, RS, Campbell, DA Jr et al. Principal Site Investigators of the Patient Safety in Surgery Study. The patient safety in surgery study: background, study design, and patient populations. J Am Coll Surg 2007;204:1089–102CrossRefGoogle Scholar
23 The Joint Commission. http://www.jointcommission.org/PatientSafety [8 August 2008]Google Scholar
24 Williams, L. Changing systems the hands-on way. The VA National Center for Patient Safety's Museum. MD Med J 2005;6:1618Google ScholarPubMed