Mayo stand and back table instruments for Parathyroidectomy surgery setupClamping & Occluding

Allis Forceps

Hemostatic Clip Applier

Kelly Forceps

Mosquito Clamp – Curved

Rienhoff Swan-Neck Clamp

Right Angle Clamp
Cutting & Dissecting
Grasping & Holding
Retracting & Exposing

Freer Skin Hook

Lahey Thyroid Retractor

Mahorner Thyroid Retractor

Richardson Retractor

Weitlaner Retractor
Suctioning
Suturing & Stapling
What to expect during Parathyroidectomy

Allis Forceps

Hemostatic Clip Applier

Kelly Forceps

Mosquito Clamp – Curved

Rienhoff Swan-Neck Clamp

Right Angle Clamp

Freer Skin Hook

Lahey Thyroid Retractor

Mahorner Thyroid Retractor

Richardson Retractor

Weitlaner Retractor
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.
Whats the difference between a parathyroidectomy and a regular thyroidectomy
Good question! During a parathyroid surgery, the parathyroid gland that is attached to the thyroid is removed, whereas in a thyroidectomy the thyroid itself is removed.