Case report

Skin thermal injury at site of hypodermic electrodes placed for intraoperative neuromonitoring during thyroidectomy: one case report

  • XING Xujian ,
  • CHEN Liang ,
  • HE Wen ,
  • FEI Jian
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  • 1. Department of General Surgery, Shanghai International Medical Center, Shanghai 201315, China
    2. Nanjing University of Posts and Telecommunications, Jiangsu Nanjing 210023, China
    3. Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2023-11-24

  Online published: 2024-09-03

Abstract

In order to reduce intraoperative recurrent laryngeal nerve injury, intraoperative neural monitoring(IONM) is widely used in thyroid-related surgery, especially in reoperations. However, some incidental injuries have also been observed during IONM. This article reported a case suffered skin thermal injury at the site of hypodermic needle electrode placement during IONM in Shanghai International Medical Center. Combining relevant adverse event information and analyzing the causes was essential to understand and prevent potential risks, and prioritize patient safety.

Cite this article

XING Xujian , CHEN Liang , HE Wen , FEI Jian . Skin thermal injury at site of hypodermic electrodes placed for intraoperative neuromonitoring during thyroidectomy: one case report[J]. Journal of Surgery Concepts & Practice, 2024 , 29(03) : 260 -263 . DOI: 10.16139/j.1007-9610.2024.03.13

References

[1] BIHAIN F, NOMINE-CRIQUI C, DEMARQUET L, et al. What is the impact of continuous neuromonitoring on the incidence of injury to the recurrent laryngeal nerve during total thyroidectomy?[J]. Surgery, 2020, 169(1):63-69.
[2] SCHWEITZER C L, WISEMAN S M. Adoption of intraoperative nerve monitoring for thyroidectomy: supported by real-world NSQIP data[J]. Am J Surg, 2021, 221(6):1285-1290.
[3] SNYDER S K, SIGMOND B R, LAIRMORE T C, et al. The long-term impact of routine intraoperative nerve monitoring during thyroid and parathyroid surgery[J]. Surgery, 2013, 154(4):704-711.
[4] BARCZY?SKI M, KONTUREK A, PRAGACZ K, et al. Intraoperative nerve monitoring can reduce prevalence of recurrent laryngeal nerve injury in thyroid reoperations: results of a retrospective cohort study[J]. World J Surg, 2014, 38(3):599-606.
[5] LING Y, ZHAO J, ZHAO Y, et al. Role of intraoperative neuromonitoring of recurrent laryngeal nerve in thyroid and parathyroid surgery[J]. J Int Med Res, 2020, 48(9):300060520952646.
[6] SUN W, LIU J, ZHANG H, et al. A meta-analysis of intraoperative neuromonitoring of recurrent laryngeal nerve palsy during thyroid reoperations[J]. Clin Endocrinol (Oxf), 2017, 87(5):572-580.
[7] WONG K P, MAK K L, WONG C K, et al. Systematic review and meta-analysis on intra-operative neuro-monitoring in high-risk thyroidectomy[J]. Int J Surg, 2017, 38:21-30.
[8] SARNTHEIN J, LüCHINGER R, PICCIRELLI M, et al. Prevalence of complications in intraoperative magnetic resonance imaging combined with neurophysiologic monitoring[J]. World Neurosurg, 2016, 93:168-174.
[9] DIAS S, SARNTHEIN J, JEHLI E, et al. Safeness and utility of concomitant intraoperative monitoring with intraoperative magnetic resonance imaging in children: a pilot study[J]. World Neurosurg, 2018, 115:e637-e644.
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