Volume : IX, Issue : III, March - 2020

BENEFITS OF THYMECTOMY IN MYASTHENIA GRAVIS

Dr Manoj M Joshi, Dr Hrishikesh Parashi, Dr Vignesh Ravikumar

Abstract :

In recent years, thymectomy has become a widespread procedure in the treatment of myasthenia gravis (MG). Likelihood of remission was highest in preoperative mild disease classification (Osserman classification 1, 2A). In absence of thymoma or hyperplasia, there was no relationship between age and gender in remission with thymectomy. In MG treatment, randomized trials that compare conservative treatment with thymectomy have started, recently. As with non–randomized trials, remission with thymectomy in MG treatment was better than conservative treatment with only medication. There are four major methods for the surgical approach: transcervical, minimally invasive, transsternal, and combined transcervical transsternal thymectomy. Transsternal approach with thymectomy is the accepted standard surgical approach for many years. In recent years, the incidence of thymectomy has been increasing with minimally invasive techniques using thoracoscopic and robotic methods. There are not any randomized, controlled studies which are compå surgical techniques. However, when compå non–randomized trials, it is seen that minimally invasive thymectomy approaches give similar results to more aggressive approaches.

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

BENEFITS OF THYMECTOMY IN MYASTHENIA GRAVIS, Dr Manoj M Joshi, Dr Hrishikesh Parashi, Dr Vignesh Ravikumar PARIPEX-INDIAN JOURNAL OF RESEARCH : Volume-9 | Issue-3 | March-2020

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