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Parathyroid Adenoma
Adenoma of the right inferior parathyroid gland
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1. Planning the incision. The circle corresponds to the position of the adenoma as located after scintigraphy study. |
2. Elevation of the upper skin flap. |
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3. Elevation of the skin flaps and fixation to the surgical drapes. |
4. Separation of the strap muscles and disclosure of the thyroid gland. |
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5. Ligation and bisection of the middle thyroid vein in order for the right lobe of the thyroid gland to be mobilized. |
6. Identification of the parathyroid adenoma (at the tip of the forceps). Just above the adenoma, the recurrent laryngeal nerve is observed. |
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7. The adenoma after its removal. |
8. The size of the adenoma. |
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9. Confirmation of the integrity of the right recurrent laryngeal nerve using nerve monitoring device, prior to suturing the wound. |
