Minimally Invasive Thyroidectomy- TrivandrumTechnique (MITT)
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| Multti Nodular Goitre Removed through a Minimal Incision |
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| Recurret Laryngeal Nerve Identified in MITT |
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| 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
