Thyroidectomy

Mayo stand and back table instruments for Thyroidectomy surgery setup

Clamping & Occluding

  • Allis Forceps

    Allis Forceps

  • Kelly Forceps

    Kelly Forceps

  • Mosquito Clamp – Curved

    Mosquito Clamp – Curved

  • Rienhoff Swan-Neck Clamp

    Rienhoff Swan-Neck Clamp

  • Right Angle Clamp

    Right Angle Clamp

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Debakey Forcep

    Debakey Forcep

  • Smooth Adson

    Smooth Adson

Retracting & Exposing

  • Freer Skin Hook

    Freer Skin Hook

  • Mahorner Thyroid Retractor

    Mahorner Thyroid Retractor

  • Richardson Retractor

    Richardson Retractor

  • Weitlaner Retractor

    Weitlaner Retractor

Suctioning

  • Ferg-Frazier Suction

    Ferg-Frazier Suction

  • Yankauer Suction

    Yankauer Suction

Suturing & Stapling

  • Mayo-Hegar Needle Holder

    Mayo-Hegar Needle Holder

  • Ryder Needle Holder

    Ryder Needle Holder

What to expect during Thyroidectomy

The surgeon will make an incision with a 15 blade across the neck. Dissection with cautery to reach the platysma. They will then retract with the skin hooks, and use the cautery more. Once deeper, a self retaining retractor will be placed.

They will then use blunt dissection with a pair of Metz to go through the fascia. A lot of doctors use the Harmonic scalpel now for these surgeries. The strap muscles will be divided with the Harmonic, and under this, lies the thyroid.

They will now spend a while dissecting some more, and may move to different retractors, such as small richardsons. Clips and ties may be used at this point to divide any structures.

Once the laryngeal nerve has been found and protected, the thyroid can then be removed. This is usually done with the Harmonic scalpel.

Once the thyroid is removed, a piece of thrombin mesh might be placed in the cavity to prevent any bleeding. Closure will occur in layers, and the skin may take a while to close, since the surgeon will be trying to avoid thick scarring.

Notes: Peanuts/kitners should always be available loaded on Kellys in case of bleeding. The thyroid specimen should be passed off immediately. Most surgeons use nerve monitoring during thyroid surgeries, so that will be one more cord you will need to throw off (they are pretty sharp, so be careful not to puncture through the drape).

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