Total thyroidectomy for benign multinodular goiter on both sides.

The surgical technique is demonstrated using a multinodular goiter II°. The procedure begins on the right side.

Cervicotomy (Kocher incision) in the area of the previously marked skin incision approximately 2 fingerbreadths above the jugulum.

Tip:
A skin incision placed too low can lead to keloid formation.
For large goiters, the incision should be placed higher, as it will lower after the goiter is removed.

After transecting the subcutis down to the ventral cervical fascia, the mobilization of the skin-platysma flap is performed cranially up to the larynx and caudally to the jugulum, while attempting to preserve the straight cervical veins as much as possible.

Entering the linea alba colli and splitting the straight neck muscles longitudinally, then detaching them initially from the right thyroid lobe, which is prepared first.

Tip:
To avoid bleeding from the veins, it is important to find the correct connective tissue space between the thyroid and the muscles.