Heterotopic parathyroid autotransplantation in total parathyroidectomy - general and visceral surgery
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Kocher or collar incision
Standard skin incision 2 finger widths (2-3 cm) superior to the suprasternal notch between the bellies of the left and right sternocleidomastoid muscles.
With the Ligasure® divide subcutaneous tissue and platysma down to anterior fascia of the neck.
Expose the avascular plane between platysma and anterior cervical fascia of and free the skin-platysma flap cephalad and caudad.
Midline division of the strap muscles
Freeing the right superior pole of the thyroid
Exposing the vagus nerve
Resection of the superior right parathyroid
Exploring the inferior parathyroid at its usual location
Starting the right transcervical thymectomy
Thymectomy
Freeing the left thyroid lobe
Resection of the superior left parathyroid
Final neuromonitoring
Drain insertion
Layered wound closure
Preparing the graft
Autotransplantation
date of update: 04.10.2023
date of publication: 09.07.2012
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