Surgical Details of the Procedure 1. The patient is placed supine (face up) on the operating room table. 2. After anesthesia is induced, the area from the upper torso to the chin line from “table to table” is prepped and draped in the normal sterile fashion. 3. The previously performed MRI is viewed to recheck Continue Reading
Indications Hyperparathyroidism from general parathyroid hyperplasia Hyperparathyroidism from parathyroid adenoma Diagnosis Hypercalcemia – although many conditions can cause hypercalcemia (high serum calcium) this is a common first diagnostic clue of hyperparathryoidism because this value is checked in many routine blood screening studies. Surgical Details of the Procedure Copyright 2007 InsideSurgery.com
Open Technique Incision The patient is placed supine (face up) on the operating room table. A folded towel is placed under the neck to hyperextend the neck. The top part of the table is elevated so the patient is in a slightly reclining position. The head must be perfectly aligned with the body so a Continue Reading
Percutaneous Technique
Indications
Failure to wean from the ventilator – this is probably the most common reason for tracheostomy. Placing a tracheostomy allows the endotracheal tube to be removed but still allows for trials off the ventilator. If the patient “fails” spontaneous breathing trials it is a simple thing with a tracheostomy to resume mechanical ventilation.
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