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Title
1. Introduction
2. Surgical Approach
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a. Patient Positioning
b. Marking
c. Inject Anesthesia for Local Cervical Block
3. Dissection
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a. Kocher Incision
b. Create Subplatysmal Flaps
c. Open Strap Muscles at the Midline
d. Mobilize Thyroid
e. Mobilize Parathyroid Adenoma
f. Ligate End Arterial Blood Supply and Finish Parathyroid Resection
4. Intraoperative PTH Monitoring and Inspection of Anatomy
5. Closure
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a. Close Strap Muscles at Midline
b. Close Platysma Muscles
c. Close Dermis with 5-0 Prolene
d. Apply Dermabond and Steri-Strips
e. Remove Suture
6. Discussion
7. Post-op Remarks
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Minimally Invasive Parathyroidectomy Under Local Cervical Block Anesthesia for Primary Hyperparathyroidism and Parathyroid Adenoma
Tobias Carling, MD, PhD, FACS
Yale School of Medicine
Tags:
General Surgery
Otolaryngology
Oncologic Surgery
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Procedure Outline
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Authors
Tobias Carling, MD, PhD, FACS
Filmed At:
Smilow Cancer Hospital at Yale New Haven
Article Information
Publication Date
4/18/2022
Article ID
225
Production ID
0225.4
Volume
2022
Issue
225
DOI
https://doi.org/10.24296/jomi/225