Mikulich-Martynov Goiter resection

Mikulich-Martynov goiter resection: modern aspects and application

Mikulicz-Martynov goiter resection is a surgical procedure developed by the German surgeon Joseph Mikulicz-Radetzky (1850-1905) and the Soviet surgeon Alexander Martynov (1868-1934). This method was one of the first successful operations for the treatment of goiter, and is still widely used in clinical practice.

A goiter is an enlargement of the thyroid gland that often causes cosmetic and functional problems. Mikulic-Martynov goiter resection is the removal of part or all of the thyroid gland, depending on the degree of its enlargement and pathological changes.

The procedure begins with an incision in the neck, through which the surgeon gains access to the thyroid gland. The gland is then identified and carefully separated from surrounding tissues and structures, such as the larynx and surrounding nerves. Part or all of the thyroid gland is removed, and the wound is then closed with puncture or sutures.

Mikulic-Martynov goiter resection has several advantages. Firstly, it allows you to remove pathologically altered thyroid tissue while maintaining its functionality. This is especially important in cases where goiter is accompanied by hyperfunction or hypofunction of the thyroid gland. Secondly, the procedure usually has good cosmetic results because it leaves a small scar on the neck that becomes barely noticeable over time.

Modern aspects of Mikulicz-Martynova goiter resection include the use of modern equipment and techniques, such as endoscopic surgery and the use of microscopes. This allows the operation to be performed more accurately and carefully, minimizing the risk of damage to surrounding tissues and structures.

The use of Mikulic-Martynov goiter resection remains relevant in modern medicine. It is one of the main methods of treating goiter, especially in cases where conservative methods, such as drug therapy, are ineffective or undesirable. In addition, this procedure can be used as both a therapeutic and preventive measure for certain thyroid diseases.

In conclusion, Mikulic-Martynov goiter resection is an important surgical procedure effectively used to treat goiter. It offers many benefits, including removing diseased thyroid tissue and preserving its functionality, as well as achieving good cosmetic results. Modern aspects of this procedure include the use of the latest equipment and techniques, which increases the accuracy and safety of the operation. Mikulich-Martynov, goiter resection remains relevant in modern medicine and is one of the main methods of treating goiter.

Mikulicha Martina ova reze k ci ya zoba

In 1945, Russian surgeons, representatives of the dynasty of their namesakes, simultaneously and independently of each other developed the same radical operation: Martynov - on the thyroid gland, and the scientist surgeon Mikulich-Radetsky - on the lymph nodes of the neck. Based on modern knowledge of physiology and anatomy, we present here another element of the history of medicine. Truly, “The earth is round and no one can escape history.”

Mikulich resorted to his operation, which received the name (resection of qi), after persistent relapses of goiter (Herxheimer's disease, goiter with cir) were revealed in his practice, and the effectiveness of complex treatment was decreasing. The relapse rate increased to 25%, and purulent processes, including damage to the cranial sinuses, continued. The victims sought medical help more often, although the duration of their next illness was comparable to the duration of the operations performed earlier. Therefore, despite significant experience, new finds were necessary for Mikulic Rada.

It is known that the circular suture of the surgical incision in the area of ​​the thyroid gland, proposed by Timold (T. Wiletzki) back in 1913, could lead to deformation of the neck due to changes in its volume. In addition, a suture with fixation of thyroid tissue inevitably injures the muscles of the larynx and the neurovascular bundle. These factors can negatively affect a person’s professional activity.

Mikulic’s position is different. He carried out additional research on sectional passages not only on patients who died from a local cancer tumor, but also on experimental cases of disease of the thyroid gland and lymph nodes of the neck artificially caused by it. The gland was gradually removed over several days and weeks, and its tissue was preserved until the wound surface healed. At this time the focus was on biopsy