Excision of solitary parathyroid adenoma - general and visceral surgery

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  • Skin incision

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    Skin incision
     

    Incise the skin 2 finger widths (2-3 cm) superior to the suprasternal notch between the bellies of the left and right sternocleidomastoid muscles (so-called Kocher or collar incision). Divide the platysma with electrocautery.

    Note: In single parathyroid adenomas with well-known location the skin incision may be much smaller than, e.g., in thyroidectomy.

  • Subcutaneous dissection, midline division

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    Subcutaneous dissection, midline division
     

    Divide the subcutaneous tissue and enter the white line of the neck. Between forceps divide and ligate any superficial jugular veins in the cervical fascia.

    Tip: Simple ligatures of the cervical veins often slip off during surgery. Closure is best accomplished by suture-ligation (PDS 3/0).

  • Exposing the thyroid

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    Retract the strap muscles of the neck from the anterior aspect of the thyroid. Expose both thyroid lobes circumferentially, expose the trachea and divide any superficial vessels encountered.

  • Locating the parathyroid adenoma

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  • Excising the parathyroid adenoma

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  • Wound closure

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date of update: 12.02.2023
date of publication: 25.04.2008

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