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Parathyroid Surgery

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George S. Ferzli
George S. Ferzli
Health & Medicine
1 of 15
Parathyroid surgery George Ferzli MD, FACS SUNY Downstate Medical Center Lutheran Medical Center
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Pre-op calcium = 9.1mg/dl - 13.8mg/dl (mean = 11.94mg/dl) Post-op calcium = 7.7mg/dl - 10.3mg/dl (mean = 9.50mg/dl) Pre-op PTH = 37ng/ml - 452ng/ml (mean = 124.6ng/ml) Post-op PTH = 16ng/ml - 119ng/ml (mean = 53.2ng/ml)
SESTAMIBI SCAN ,[object Object],[object Object],[object Object]
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LENGTH OF INCISION: 2cm - 6cm (mean = 2.28cm) 2cm - 93 patients 3cm - 37 patients 4cm - 1 patient 6cm - 1 patient
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COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object]
LENGTH OF FOLLOWUP ,[object Object],[object Object]
CONCLUSION
[object Object],[object Object],Superior and inferior subplatysmal flaps are developed.
 
Rt. recurrent laryngeal nerve Tubercle of Zuckerkandl Rt. upper parathyroid gland At the laryngotracheal junction, identify the following structures:
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The inferior pole vessels are divided If total thyroidectomy, repeat steps on left side Free trachea from thyroid by dividing ligament of Berry Ligament of Berry

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Parathyroid Surgery

  • 1. Parathyroid surgery George Ferzli MD, FACS SUNY Downstate Medical Center Lutheran Medical Center
  • 2.
  • 3. Pre-op calcium = 9.1mg/dl - 13.8mg/dl (mean = 11.94mg/dl) Post-op calcium = 7.7mg/dl - 10.3mg/dl (mean = 9.50mg/dl) Pre-op PTH = 37ng/ml - 452ng/ml (mean = 124.6ng/ml) Post-op PTH = 16ng/ml - 119ng/ml (mean = 53.2ng/ml)
  • 4.
  • 5.
  • 6. LENGTH OF INCISION: 2cm - 6cm (mean = 2.28cm) 2cm - 93 patients 3cm - 37 patients 4cm - 1 patient 6cm - 1 patient
  • 7.
  • 8.
  • 9.
  • 11.
  • 12.  
  • 13. Rt. recurrent laryngeal nerve Tubercle of Zuckerkandl Rt. upper parathyroid gland At the laryngotracheal junction, identify the following structures:
  • 14.
  • 15. The inferior pole vessels are divided If total thyroidectomy, repeat steps on left side Free trachea from thyroid by dividing ligament of Berry Ligament of Berry