Parathyroidectomy
The surgical excision of one or more hyperfunctioning parathyroid glands to correct hyperparathyroidism and regulate systemic calcium levels.
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- Supine
The tray
21 instruments, by what they do. Tap a name for its card.
Allis ForcepsClamping
Hemostatic Clip ApplierClamping
Kelly ForcepsClamping
Mosquito Clamp - CurvedClamping
Rienhoff Swan-Neck ClampClamping
Right Angle ClampClamping
#3 Knife HandleCutting
Metzenbaum ScissorCuttingAll 21 instruments
Straight Mayo ScissorCutting
Adson ForcepsGrasping
DeBakey ForcepsGrasping
Smooth AdsonGrasping
Freer Skin HookRetracting
Lahey Thyroid RetractorRetracting
Mahorner Thyroid RetractorRetracting
Richardson RetractorRetracting
Weitlaner RetractorRetracting
Ferg-Frazier SuctionSuctioning
Yankauer SuctionSuctioning
Mayo-Hegar Needle HolderSuturing
Ryder Needle HolderSuturingClamping & Occluding6
Cutting & Dissecting3
Grasping & Holding3
Retracting & Exposing5
Suctioning2
Suturing & Stapling2
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nerve monitor probe (surgeon's preference) I like to keep mine in my bovie holster since they are thin and somewhat sharp
Step by step
5 steps, one line each.
- 1
Making the Incision
The first step in the Parathyroidectomy procedure is making an incision along the collar in the neck crease using a 15 blade. The surgical technologistSUR-jih-kul tek-NOL-uh-jistA member of the operating room team who prepares the sterile field and instruments and hands them to the surgeon.Full entry must hand the blade to the surgeon while maintaining a sterile fieldSTAIR-ul feeldAn area set up with sterile drapes and supplies, kept free of all germs, for a sterile procedure.Full entry . After making the incision, the surgeon will use small retractorrih-TRAK-terA surgical instrument that holds back tissue or organs so the surgeon can see and reach the operative site.Full entry like skin hooks or Richardsons to dissectdy-SEKT, or dih-SEKTTo cut apart or separate tissues carefully during surgery.Full entry down to the thyroid.
- 2
Tying Off Vessels
As the surgeon continues to dissectdy-SEKT, or dih-SEKTTo cut apart or separate tissues carefully during surgery.Full entry down to the thyroid, they may come across vessels that require tying off. surgical technologistSUR-jih-kul tek-NOL-uh-jistA member of the operating room team who prepares the sterile field and instruments and hands them to the surgeon.Full entry must ensure that silk ties are readily available to the surgeon to tie off any vessels that require ligation. It's crucial to have a variety of different-sized clip appliers available in case the surgeon decides to use them.
- 3
Obtaining a Baseline Sample
After the thyroid is exposed, the surgical team will take a sample of parathyroid hormonepar-uh-THY-royd HOR-mohnA hormone from the parathyroid glands in the neck that raises the calcium level in the blood.para- besidethyr/o thyroid-oid resemblingFull entry serumSEER-umThe clear, yellow liquid left from blood after it clots and the cells are removed.Full entry to establish a baseline. The surgical technologistSUR-jih-kul tek-NOL-uh-jistA member of the operating room team who prepares the sterile field and instruments and hands them to the surgeon.Full entry must ensure that the necessary instruments for this procedure, such as a PTH kit and a sterile syringe, are readily available.
- 4
Dissecting the Gland
The surgeon will continue to dissectdy-SEKT, or dih-SEKTTo cut apart or separate tissues carefully during surgery.Full entry the rest of the gland from the thyroid, and another parathyroid hormonepar-uh-THY-royd HOR-mohnA hormone from the parathyroid glands in the neck that raises the calcium level in the blood.para- besidethyr/o thyroid-oid resemblingFull entry sample will be taken and sent STAT to the lab. During this step, the surgical technologistSUR-jih-kul tek-NOL-uh-jistA member of the operating room team who prepares the sterile field and instruments and hands them to the surgeon.Full entry must ensure that the surgeon has access to the necessary instruments, such as dissectors and scissors.
- 5
Closing the Incision
Once the gland has been completely dissectdy-SEKT, or dih-SEKTTo cut apart or separate tissues carefully during surgery.Full entry , the surgeon will check the parathyroid hormonepar-uh-THY-royd HOR-mohnA hormone from the parathyroid glands in the neck that raises the calcium level in the blood.para- besidethyr/o thyroid-oid resemblingFull entry levels to ensure they are within an acceptable range. If the levels are good, the incision will be irrigationeer-ih-GAY-shunWashing out a wound, body cavity, tube or eye with a steady flow of liquid.Full entry and closed. The surgical technologistSUR-jih-kul tek-NOL-uh-jistA member of the operating room team who prepares the sterile field and instruments and hands them to the surgeon.Full entry must hand the necessary instruments to the surgeon while maintaining a sterile fieldSTAIR-ul feeldAn area set up with sterile drapes and supplies, kept free of all germs, for a sterile procedure.Full entry . The Surgery Sparknotes Make an incision along the collar in the neck crease using a 15 blade. Ensure silk ties are available to tie off vessels. Obtain a baseline PTH sample. Dissect the gland using dissectors and scissors. Check PTH levels and irrigate and close the incision.
The case
A Parathyroidectomy is a surgical procedure performed to remove one or more of the parathyroid glands, which are responsible for regulating the calcium levels in the body. This procedure is typically done to treat hyperparathyroidism, a condition where the parathyroid glands produce too much parathyroid hormone, resulting in elevated calcium levels in the blood. The surgery involves making an incision in the neck and dissecting the gland, while ensuring the surrounding structures such as the thyroid gland, nerves, and blood vessels are not damaged.
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