Total thyroidectomy for benign multinodular goiter on both sides.

After checking for hemostasis under simultaneous PEEP ventilation, the wound is closed in layers, which in the film example consists of adapting single button sutures of the straight anterior neck muscles and a resorbable intracutaneous skin suture.

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.