Article
Minimally Invasive Video Assisted Parathyoridectomy
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Published: | April 4, 2012 |
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Minimally invasive surgery popular for thyroid and especially for parathyroids. In case of benign tumors of the parathyroid which are not exceeds 2-3cm in size and no other surgical intervention is needed after the excision we perefer minimally invasive video assisted parathyroidectomy. It consists of a 2cm skin insicion follows 30 degree angled hopkins telescope vision and monitor view. The procedure is usually takes about half an hour to finish for a single parathyroid adenoma. Vascular clips are used to prevent the hemostasis. Closure is done with a minivac drain but take out a day after the surgery. Due to the insicion line is too small it is prefered by the patients and the surgeons. There are some contraindications for this technique; large goiters, recurrent disease, extensive previous neck surgery, multiple endocrine neoplasia and familial PHPT and parathyroid carcinoma. Neck is the surgical field of otorhinolaryngology and MIVAP is a less invasive technique but the patient selection is important.