Mayo stand and back table instruments for Parathyroidectomy surgery setup

Clamping & Occluding

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  Allis Forceps

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  Hemostatic Clip Applier

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  Kelly Forceps

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  Mosquito Clamp – Curved

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  Rienhoff Swan-Neck Clamp

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  Right Angle Clamp

Cutting & Dissecting

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  #3 Knife Handle

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  Metzenbaum Scissor

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  Straight Mayo Scissor

Grasping & Holding

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  Adson Forceps

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  Debakey Forceps

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  Smooth Adson

Retracting & Exposing

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  Freer Skin Hook

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  Lahey Thyroid Retractor

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  Mahorner Thyroid Retractor

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  Richardson Retractor

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  Weitlaner Retractor

Suctioning

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  Ferg-Frazier Suction

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  Yankauer Suction

Suturing & Stapling

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  Mayo-Hegar Needle Holder

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  Ryder Needle Holder

What to expect during Parathyroidectomy

Position:

supine with neck extended

Special equipment:

nerve monitor probe (surgeon’s preference) I like to keep mine in my bovie holster since they are thin and somewhat sharp

Surgery steps:

An incision with a 15 blade will be made along the collar in the neck crease. The surgeon will do a lot of dissecting down to the thyroid. Silk ties should be readily available to tie off any vessels that they come across. Small retractors like skin hooks or Richardsons will be used until the surgeon has dissect deep enough to use a self retaining retractor.

A lot of muscles and vessels will be ligated and divided. Always make sure to have a variety of different sized clip appliers available.

A sample of PTH serum will be taken to get the baseline.

The rest of the gland will be dissected from the rest of the thyroid, and another PTH sample will be taken and sent STAT to the lab. If all of the levels look good, the incision will be irrigated and closed.