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Title
Introduction
1. Positioning
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a. Positioning
b. Ultrasound Examination
c. Draping
2. Exposure
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a. Incision and Dissection through Platysma
b. Elevate Subplatysmal Flaps
c. Protect Skin with Microfoam, Incise Deep Cervical Fascia
d. Retract SH and ST Muscles
3. Examination
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a. Retract R Superior Pole Vessels Away from Larynx
b. Check Right Vagus N. Signal
c. Divide Middle and Lower Pole Veins
d. Identify and Preserve R. Inferior and Superior Parathyroid Glands
4. Preservation
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a. Identify R. RLN
b. Follow RLN to Cricothyroid Insertion
c. Divide the Ligament of Berry
5. Isthmusectomy
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a. Remove Specimen, Tie and Clamp Isthmus
6. Stabilization
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a. Check Vagus
b. PPV in Trendelenburg
c. Homeostasis of Thyroid Bed
d. Second PPV in Trendelenburg
7. Closure
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a. 4-0 Vicryl to Reapproximate SH and ST
b. Close Platysma
c. Approximate Subcutaneous Layer
d. 5-0 Prolene Subcuticular to Close Skin
e. Apply Dermabond
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Right Hemithyroidectomy
Roy Phitayakorn, MD;
TK Pandian
Massachusetts General Hospital
Tags:
General Surgery
Otolaryngology
Main Text
Procedure Outline
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Authors
Roy Phitayakorn, MD
TK Pandian
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
N/A
Article ID
21
Production ID
0096
Volume
N/A
Issue
21
DOI
https://doi.org/10.24296/jomi/21