Hemithyroidectomy

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Skin Incision
Mobilization of Wound Edges
Transection of the Midline
Preparation of the Upper Pole Vessels
Depiction of the Vagus Nerve
Transection of the Inferior Thyroid Artery
Identification of the Inferior Parathyroid Gland
Transection of the Pretracheal and Inferior Vessels
Visualization of the Recurrent Laryngeal Nerve
Resection of the Left Thyroid Lobe
Capsule Suture and Final Neuromonitoring
Wound Closure

Authors

Dr. med. Katharina von Schenk

Lukaskrankenhaus Neuss

Prof. Dr. med. Peter Goretzki

Charite Berlin

Date

date of publication: 25.04.2009
date of update: 01.09.2023

surgery report

Download:
OP Report
Please log in to download the OP report.

Skin Incision

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

3 to 5 cm long Kocher collar incision in the middle, two transverse fingers above the jugulum. Transection of the subcutis down to the ventral cervical fascia.
Mobilization of Wound Edges

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

Mobilization of a skin platysma flap cranially and caudally, preferably sparing the straight neck veins.
Transection of the Midline

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

After folding back the skin edges, enter the linea alba colli and dissect the straight neck muscles from the thyroid gland.
Preparation of the Upper Pole Vessels

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

Palpate both thyroid lobes. Turn to the left side of the thyroid. Expose the upper thyroid pole. Capsule-near interruption of the upper pole vessels and medialization of the thyroid lobe.
Depiction of the Vagus Nerve

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

Depicting and retracting the vagus nerve, checking an intact recurrent nerve with neuromonitoring.
Transection of the Inferior Thyroid Artery

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

Preparation and transection of the inferior thyroid artery, followed by identification of the recurrent nerve using neuromonitoring.