The Excision of the Thymus Gland by Endoscopy Instead of Surgery, for the First Time in Mouwasat and Eastern Region Hospitals
A patient was transferred from the Neurology Clinic to the Thoracic Surgery Clinic at Al-Mouwasat Hospital in Dammam. A 36-year-old lady complained of acute myasthenia gravis as she was suffering from multiple symptoms such as: muscle weakness, inability to raise the hand, difficulty when speaking, slurred speech, difficulty in swallowing and chewing, as well as high level of reverse immunity.
The case was evaluated under the supervision of Dr. Fawzi Alimi, consultant thoracic surgeon, and Dr. Muhammad Mustafa, consultant of internal and kidney diseases, and an immediate decision was taken to remove the thymus gland, which is an endocrine gland located on the trachea above the heart and behind the sternum. This gland is responsible for secreting hormones regulating the immunity system and helps to produce lymphocytes.
The patient was under general anesthesia, and then (the thymus gland) was removed through the laparoscopic technique through small openings in the far left side and the far right side of the rib cage with the latest international technologies that differentiates the Mouwasat Hospitals group in all its hospitals.
Artificial respiration was not used after the operation, and the patient got recovered completely, and was discharged on the third day after the operation and transferred to the neurology clinic for follow-up and reassurance.