Professor Adeel Butt, vice-chair for Faculty Affairs at HMC, noted that prior to the availability of robotic approaches to thymectomy
, patients underwent a much more invasive procedure that had a number of limitations.
There were five acquired DE cases in our study group out of which 4 (3 cardiac surgery, one thymectomy
) required TDP and one had resolved without plication by the 3rd month of follow-up.
(5,16) Plasmapheresis is used as an option for patients in myasthenic crisis and before thymectomy
(2,6,7) Its benefits can last up to six weeks, (5) but there can be complications and side effects.
Our former studies revealed that some MG patients with thymoma experienced exacerbation of MG over 1 month after surgery and postoperative myasthenic crisis is the main cause of death for thymoma patients with MG. According to our experience, it seemed that adjuvant mediastinal radiation therapy within 1 month after extended thymectomy
might not only decrease the incidence of postoperative myasthenic crisis but also might have impact on long-term outcome.
was advised in all 25 patients after clinical stabilisation.
through an infrasternal approach.
Observations of the natural history of myasthenia gravis and the effect of thymectomy
. Ann N Y Acad Sci 1981;377:678-690.
: a recommended procedure for myasthenia gravis.
Laryngeal mask airway insertion with total intravenous anesthesia for transsternal thymectomy
in patients with myasthenia gravis: report of 5 cases.
Furthermore, animal studies have shown that immune suppression after thymectomy
or splenectomy resulted in an increased incidence of amoebic liver abscess .
is strongly recommended in all thymoma cases.
A three-and-a-half-gland resection together with subtotal thymectomy
was done without any complications; the left lower parathyroid gland was the only normal appearing and half of it was preserved taking care that blood supply remained intact.