Thyroglossal Cyst – Endoscopic Excision – First of its kind in Kerala

A team of Surgeons in the Dept of Minimally Invasive Surgery at VPS Lakeshore Hospital, Kochi, has successfully removed a cyst from inside the upper neck without any cut on the neck. This was a Thyroglossal cyst. Its a very rare keyhole surgery of its kind – first time in the state of Kerala was performed on a 30-year-old person from Wayanad.
The team led by Dr R Padmakumar performed the procedure by an axillo-breast approach without making any scar in the neck.
Endoscopic method involves tiny cuts in the armpit area and uses the laparoscopic equipment to complete the procedure in a keyhole manner.
Others in the team who performed this procedure included Dr Madhukara Pai, Dr Beena K Nair, Dr Kevin Chiramel and Dr Aravind Balakrishnan.
The excellent facilities at VPS Lakeshore Hospital and our experience in Keyhole Thyroid Surgeries helped us in performing this rare surgery – opined Dr Padmakumar.
What is a Thyroglossal Cyst?
Thyroglossal cyst is a congenital cyst with upper attachment to root of tongue and lower attachment to thyroid gland. It is situated above the thyroid cartilage (the Adam’s apple). Generally, it is removed by a large cut in the neck which leads to an unsightly scar which is uncomfortable for the individual.

Read more on Endoscopic or Keyhole Neck Surgeries
Important Terms
Thyroid Gland: The Thyroid is an endocrine gland. It is a butterfly-shaped organ and is located in front of the neck and below the Adam’s apple. It is composed of the left lobe and the right lobe. The thyroid gland is responsible for secreting thyroxine (T4) and triiodothyroninine (T3). These hormones are necessary for the body to function normally.
Adam’s Apple: Adam’s apple is a protrusion or a lump, typically larger in males, that is formed by the angle of the thyroid cartilage surrounding the larynx. It is usually clearly visible in males.
About Dr. R. Padmakumar
Dr. R. Padmakumar is one of the Best Hernia Surgeon in India. He has been changing lives through Keyhole Surgery. He has got more than 30 years of hands-on experience in laparoscopic Surgery in major hospitals across India and has completed more than 7000 cases of Laparoscopic Hernia Surgeries. Dr. Padmakumar has trained more than 300 surgeons from all over the world the art of laparoscopic surgery especially Laparoscopic Hernia Surgery. Dr. Padmakumar is also hailed as one of the Best Bariatric Surgeon in India & UAE. He is renowned for new and improved treatment techniques and the first in the World to perform Scarless Bariatric Surgery with Tummy Tuck / Abdominoplasty. He is also one of the very few thyroid surgeons in India doing Endoscopic Thyroidectomy (scarless thyroid surgery).


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