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In general, there is a tendency for both endocrinologists and surgeons not to suggest thyroid and parathyroid surgery during the summer months, unless this is absolutely mandatory as, for example, in a case of thyroid cancer. As a result, the patient either reschedules thyroidectomy for after the summer months, in the fall or winter, or cancels his planned vacation in order to undergo thyroid removal during summer. Certainly, such a trend does not derive from the need of doctors and patients for summer vacations, but from medical reasons, some of which concern surgical trauma and scarring.

After any surgical skin incision and its subsequent suturing the healing process is activated, which in brief includes superficial epithelialization, cell accumulation, and granulation formation, tissue regeneration so that the skin finally acquires the maximum physiological structure, elasticity, and durability. This process involves a variety of factors, either endogenous (the healing ability of each organism) or exogenous (ie surgical technique) that affect the final healing result.

The exogenous factors include, among others, solar radiation and its effects on the skin. In a fresh surgical wound, sunlight can cause discoloration, resulting in permanent color differentiation in relation to the surrounding skin. The patient in order to avoid this undesirable effect should protect the skin incision from sunlight, mainly keeping it covered. In our country, especially during the summer months, with the intense sunshine and high temperatures, keeping the wound covered with dressings may not be possible or easily tolerated due to the heat. This problem is exaggerated when it concerns the neck, the area where the incision for thyroid and parathyroid surgery is performed.

TOETVA’s transoral access is the only solution to the aforementioned problems. In TOETVA, thyroidectomy and parathyroidectomy are performed with 3 minimal incisions on the inner surface of the lower lip of the mouth. As a result, postoperatively there is no wound on the skin of the neck, the patient does not need to use dressings, not even a cloth to keep the area protected from the sun. Also, after the 7th postoperative day, there is no contraindication either for swimming or sunbathing

And the patient does not have to postpone his vacation. Since there is no incision anywhere on the skin, the area of the neck after TOETVA does not need any special care while at the same time the possibility of creating a malformed scar or a rough keloid has been excluded.  An issue extremely important, as the neck area is an integral element of the external appearance, especially in women.