How to Avoid and Manage Post-operative Complications
1. High flow oxygen 2. Call for doctor skilled in airway management 3. Either (a) Intubate (b) Evacuate haematoma (i) Attempt aspiration with large bore needle/syringe (ii) Remove skin and…
Superior Laryngeal Nerve Monitoring
Fig. 17.1 Total numbers of documents on EBSLN published by year (1935–2013) IONM is increasingly performed in endocrine surgery due to a significant improvement of the technical aspects, devices (Fig….
Recurrent Laryngeal Nerve Monitoring
Fig. 18.1 Basic IONM equipment setup ET endotracheal tube, REC recording electrodes, GND ground electrodes (Adapted from Randolph et al. [4] permissions awaited) Various nerve monitoring formats are available for…
Minimally Invasive Video-Assisted Neck Dissection
Fig. 15.1 The camera is handled by an assistant who can rotate it in order to better expose the site of dissection Harmonic scalpel is particularly useful when a VA-CCD…
Hemostatic Devices
Fig. 19.1 Superior pole dissection using harmonic scalpel during mini-invasive video-assisted thyroidectomy. EBSLN external branch of superior laryngeal nerve Fig. 19.2 Inferior pole dissection using Harmonic Focus® during mini-invasive thyroidectomy….
Perioperative Medical Treatment
Fig. 23.1 Historical evolution of treatment of hypothyroidism A number of studies, following observations about the benefit of T4 and T3 combination therapy, have largely failed to confirm an advantage…
Minimally Invasive Video-Assisted Thyroidectomy (MIVAT)
Fig. 10.1 Skin incision; thyroid lobe is medially retracted while the strap muscles are retracted laterally, using two little Farabeuf; endoscope (5 mm – 30°) and the dedicated small surgical…
Robotic Thyroidectomy
Fig. 12.1 Comparison of the RAT and RFT approaches. Dashed and dotted lines show the extent of dissection for each procedure. A robotic axillary thyroidectomy (RAT), B robotic facelift thyroidectomy…
Minimally Invasive Video-Assisted Parathyroidectomy (MIVAP)
Fig. 13.1 MIVAP: Left inferior laryngeal nerve and left superior parathyroid adenoma Thanks to the central access, MIVAP allows contralateral parathyroid glands exploration through the same skin incision when necessary…
Endoscopic Parathyroidectomy
Fig. 14.1 Instruments Fig. 14.2 Trocars sites: three trocars are positioned on the line of anterior border of the SCM. Central trocar receive the 10-mm 0° endoscope and the other…
