Complications - Heterotopic parathyroid autotransplantation in total parathyroidectomy

  1. Intraoperative complications

    • Signal loss during IONM
    • If this happens on the first side in a planned bilateral procedure, do not resect the contralateral side because otherwise this runs the risk of bilateral recurrent laryngeal nerve paralysis.
    • Bleeding
    • Manage massive intraoperative hemorrhage (e.g., from the Kocher vein or inferior thyroid artery) first by packing, then identify the bleeder under continuous suction, clamp and ligate it.
    • Missed parathyroids
    • When no altered parathyroid tissue is found or glands are missing: Terminate the procedure and perform detailed diagnostic work-up
Postoperative complications

Secondary bleedingDeep secondary bleeding may compress the trachea and vagus nerve, thereby resulti

Activate now and continue learning straight away.

Single Access

Activation of this course for 3 days.

€4.99 inclusive VAT

Most popular offer

webop - Savings Flex

Combine our learning modules flexibly and save up to 50%.

from €3.29 / module

€39.50 / yearly payment

price overview

general and visceral surgery

Unlock all courses in this module.

€9.08 / month

€109.00 / yearly payment