Paraganglioma surgery: Difference between revisions

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VisualWikitext

Latest revision as of 19:06, 31 January 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

OR

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Indications

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]

Surgery

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Contraindications

References

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@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Paraganglioma}}
-{{CMG}} {{AE}} {{AAM}}
+{{CMG}}; {{AE}}
 ==Overview==
-Surgery is the mainstay of treatment for paraganglioma. The surgical approach is often tailored to the tumor size and clinical situation.
+Surgical intervention is not recommended for the management of [disease name].
+OR
+Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
+OR
+The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
+OR
+The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
+OR
+Surgery is the mainstay of treatment for [disease or malignancy].
+==Indications==
+*Surgical intervention is not recommended for the management of [disease name].
+OR
+*Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
+**[Indication 1]
+**[Indication 2]
+**[Indication 3]
+*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
+**[Indication 1]
+**[Indication 2]
+**[Indication 3]
 ==Surgery==
-*Paraganglioma is treated by [[surgical]] excision.
-*Careful pre-operative preparation is required in order to prevent an intra-operative [[hypertensive crisis]] in the case of catecholamine-secreting paragangliomas, due to the massive release of [[catecholamine]] with tumor handling, or profound post-operative [[hypotension]] and massive fluid requirements resulting from the fluid shifts that follow [[catecholamine]] control.
+*The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
-*Pre-operative preparation is best undertaken with administration of [[alpha-blocker|alpha-adrenergic blocking agents]], such as [[phenoxybenzamine]].<ref name=surgwiki>Tumours of the adrenal gland. SurgiWiki (2015). http://www.surgwiki.com/wiki/Tumours_of_the_adrenal_gland Accessed on September 23, 2015.</ref>
+OR
-===Operative Management===
+*Surgery is the mainstay of treatment for [disease or malignancy].
-*[[Adrenalectomy]] can be performed either as an open procedure, as a [[laparoscopy|laparoscopic procedure]] with hand assist devices, or solely as a laparoscopic procedure.
-*Increasingly, the accepted philosophy is to tailor the surgical approach to the tumor size and clinical situation.
+==Contraindications==
-*The open approach to the adrenal gland is either anteriorly through the [[peritoneal cavity]] (now used only for large and probably malignant lesions), or via an extraperitoneal approach, either posteriorly through the bed of the 12th rib or postero-laterally, or combined as a thoraco-abdominal procedure. These procedures should be used for very large tumors, or those known to be malignant.
-*Laparoscopic adrenalectomy is associated with reduced post-operative pain, and allows the patient to leave hospital after 2 or 3 days.<ref name=surgwiki>Tumours of the adrenal gland. SurgiWiki (2015). http://www.surgwiki.com/wiki/Tumours_of_the_adrenal_gland Accessed on September 23, 2015.</ref>
-===Complications of Surgery===
-*Complications of [[adrenalectomy]] include all the general complications of any open abdominal [[adrenal]] operation or [[laparoscopic]] procedure such as [[bleeding]], wound infection and [[ileus]].<ref name=surgwiki>Tumours of the adrenal gland. SurgiWiki (2015). http://www.surgwiki.com/wiki/Tumours_of_the_adrenal_gland Accessed on September 23, 2015.</ref>
 ==References==
-{{reflist|2}}
+{{Reflist|2}}
-{{Epithelial neoplasms}}
-{{WikiDoc Help Menu}}
+{{WH}}
-{{WikiDoc Sources}}
+{{WS}}
-[[Category:Disease]]
+[[Category: (name of the system)]]
-[[Category:Types of cancer]]
-[[Category:Mature chapter]]
- [[Category:Up-To-Date]]
-[[Category:Oncology]]
-[[Category:Medicine]]
-[[Category:Neurology]]
-[[Category:Neurosurgery]]