Alumi Laparoscopic Discussion Board

Sistrunk procedure and its complications.
Discussion in 'All Categories' started by Dr Baldev Ram - Aug 22nd, 2016 11:28 am.
Dr Baldev Ram
Dr Baldev Ram
Dear Dr Mishra

I want to know about laparoscopic Sistrunk procedure its technique of surgery and its complications.
re: Sistrunk procedure and its complications. by Dr R K Mishra - Aug 23rd, 2016 1:36 am
#1
Dr R K Mishra
Dr R K Mishra
Dear Dr Ram

Sistrunk procedure is named after Doctor Sistrunk from Tallahassee, Alabama. This surgery is used to treat Thyroglossal duct cyst which is the most common cause of congenital neck swelling. They may be found in as many as 7% of the population. Most commonly, they present in the first decade of life. However, they are also seen in adults.

Although using the term Minimal Access Surgery would be better because this cyst is never in abdomen. You should call it endoscopic technique but not the laparoscopic technique. A three-port technique is used performed in this minimally invasive.

A 10-mm port for 30° telescope, 5-mm port for the instrument at the left circumareolar area and 5-mm port located at the right circumareolar area. Insufflation pressure of CO2 gas was set at 6 mm Hg only to prevent any surgical emphysema. The surgical working space was located over the breast tissue and pectoralis muscles, towards the anterior neck to the hyoid bone. The steps employed for resection were similar to a conventional open Sistrunk operation.

Luckily complications are very uncommon. If they arise they are usually simple complications like bruising, bleeding or infection of the wound which can be easily treated. The most frustrating complication is perhaps when the cyst comes back and a further surgery is needed. Careful initial minimal access surgery can keep this problem to a minimum however there is always a small risk of recurrence.

With regard

Dr R K Mishra
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