Minimally Invasive Thyroidectomy- TrivandrumTechnique (MITT)

Minimally Invasive Thyroidectomy- TrivandrumTechnique (MITT)

Multti Nodular Goitre Removed through a Minimal Incision



Recurret Laryngeal Nerve Identified in MITT



Minimal Incision For MITT

Principles of MITT

—  Neck is kept in – Neutral position

—  Intrinsic mobility of the Thyroid Gland and the mobility of Tracheo laryngeal Apparatus are taken into advantage

—  Either the gland is brought to the incision site by traction or the incision is brought to the area of dissection by retraction.

—  ‘Harmonious retraction’ using Long thin Langenbecks’ retractors

—  Meticulous haemostasis and gentle and precise handling of tissues.

—  Order of Devascularisation of thyroid gland -Inferior thyroid veins-> Middle Thyroid Vein-> Superior pole-> Pyramidal lobe-> Tracheo  Esophageal Groove dissection.

•  Suture less – Using Bipolar coagulation

                                       Courtesy - Dr SK Ajaiyakumar,Trivandrum