Welcome to EndocrineSurgeon.co.uk

This is the Website of the London Surgical Endocrinologist  John Lynn

Committed to safety and excellence in Endocrinology  and Minimally Invasive Thyroid, Parathyroid and Endocrine surgery 

My website aims to provide comprehensive, authoritative and up-to-date information on all aspects of endocrine surgery for patients, medical students and qualified practitioners of all levels. I am an internationally recognised endocrine surgeon with most likely the largest experience of thyroid and parathyroid surgery in the United Kingdom. I have performed over 12 thousand endocrine surgical operations.The website represents my own very personal views developed over 30 years of medical and surgical practice. I take great pride in constantly updating the site so that physicians and patients are kept fully informed of advances in endocrine surgery.The website is aimed both at patients and medical professionals of all levels. I have not divided up the website for specific needs but have tried very hard to make it user friendly for all.

 The approach I use is called "minimally invasive surgery" for thyroid and parathyroid operations. Patients should ask about their surgeon's volume of work and incidence of his or her complications as listed in this website as well their surgeons experience of "minimally invasive surgery". One is very reluctant to claim that one was the "first" to introduce "minimally invasive" thyroid and parathyroid surgery to the UK - one first performed this method in 1984 aided by Sestamibi scans at the Hammersmith Hospital London.

I believe, like my American colleagues, that intra-operative recurrent laryngeal nerve monitoring is absolutely mandatory in every thyroid and parathyroid operation.I use the Neurosign 100 in every patient having neck surgery. (www.magstim.com). Nerve monitoring is now widely available in the UK and I suggest that patients ask to be operated on only by surgeons that use it.I am convinced that it reduces the risk of voice change following neck surgery.A recent study from Poland has confirmed using a nerve stimulator a reduced incidence of short term voice change which is statistically significant.Long term voice change was also less using the nerve stimulator but did not reach statistical significance most likely due to the small number of patients studied.

There have been concerns about the standard of care offered to patients in the UK with endocrine surgical problems. This is particularly true of thyroid cancer,where results of treatment in the UK were significantly worse than those in the USA and continental Europe. The publication of the UK guidelines for the management of thyroid cancer in 2007 have in part allayed ones fears. A matter for grave concern is the low volume of thyroid and parathyroid surgery performed by a significant number of surgeons in the UK. This is particularly the case in the management of parathyroid tumours. I am regularly asked to explore patients whose first attempt at surgery has failed, all too often due to the inexperience of the initial surgeon.

The British Association of Endocrine and Thyroid Surgeons, BAETS in 2007 published their 2nd National Audit Report of endocrine surgery in the UK covering the period of 2005-6. My experience with my co-workers was the largest in the UK for both thyroid and parathyroid surgery, with over 380 endocrine surgical cases treated per year. (www.baes.info).

 From April 6th 2009 Mr Lynn has instigated the  World Health Organisation (WHO) Surgical Safety Check list for all surgical patients. All patients will be given a copy of this list after their surgery. Recent world wide studies have demonstrated  that the use of the 19 item check list reduces the rate of complications.The check list is being introduced by many hospitals in the United Kingdom and will be mandatory in early 2010.Quite extraordinarily it has been reported that despite the use of a modified WHO Surgical Safety Check list that an operation was performed on the incorrect side of the patient at a Major London Teaching Hospital. At the same institute a breast cancer patient has had recently due to poor localisation(marking) normal breast tissue removed and the cancer left in the breast. These episodes remind us all that surgeons like the airline pilots can never make too many checks! Its check, check and check again. But that check lists must not lull the surgeon into a sate of false security.As surgeons we must never be complacent about performing the correct procedure on the correct patient at the correct site.Its Mr Lynn's view that the surgeon performing the operation should consent the patient in the ward for surgery, mark the site of the operation,check them in the anaesthetic room and personally perform the WHO Surgical Checklist  "timeout".This obvious meticulous attitude does not have universal support in the United Kingdom!

This website is very large and was last updated on July 1st 2009.Please make use of the Search option in the left-hand menu or in the footer.

 If you have any comments or suggestions for the website, please make contact through the options on the left-hand menu. Your comments help me to maintain the highest possible standard of endocrine surgery. I encourage my patients to comment on my standard of care.One excellent way to do this is to comment on the recently opened website www.iwantgreatcare.org. Endocrine Surgery is not listed on this website, comments are best posted under Endocrinology.Your comments are a great value not only to me but to prospective patients. I adhere strictly to the ethical principles laid out in "Good Surgical Practice" published by The Royal College of Surgeons of England in February 2007. www.rcseng.ac.uk

Mrs Rosalind Jones my practice manager of 30 years died suddenly on the 23rd of October 2008.Rosalind helped hundreds of patients with her kind manner and care.She was admired by all for her wonderful elegance and intellect.Her integrity was cast iron. She is sorely missed by so many patients who regarded her as a great friend.

Mr John Lynn MS FRCS
Consultant Endocrine Surgeon

This site is for educational and teaching purposes only.It is in no way intended to replace medical advice given in the consultation room by a qualified doctor. Any individuals with concerns about their health should first consult their physician and then seek an endocrine surgical referral if necessary. Mr Lynn is very happy to give advice via email but will always insist that the local physician is involved where at all possible. This e-mail address is being protected from spam bots, you need JavaScript enabled to view it