Total thyroidectomy in bilateral nodular goiter

The surgical technique will be demonstrated in stage II multinodular goiter. The procedure is started on the right side.
Kocher collar incision about 2 fingers wide superior to the suprasternal notch.

Tip:

If the incision is placed too far inferior this may result in keloid formation.
In large goiters the incision should be placed somewhat more superior since it will descend once the goiter has been removed.

After transecting the subcutaneous tissues free a superior and inferior skin-platysma flap while preserving the straight cervical veins, if at all possible.