Page 140 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition

Chapter 10 · Surgery of the thyroid and parathyroid glands

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OPERATIVE TECHNIQUE 10.1

eline th roidecto odi ed e tracapsular

PATIENT POSITIONING
Dorsal recumbency, with equal retraction of the forelimbs caudally to ensure that the neck is symmetrical.

PRACTICAL TIP

It is helpful to place the neck over a small sandbag or bandage roll to hyperextend the cervical vertebrae. This
exposes more of the thoracic inlet and brings the trachea (and thyroid glands) to a more superficial position

ASSISTANT
Not necessary if good self-retaining retractors are available.

ADDITIONAL INSTRUMENTS
Very fine forceps; fine scissors (e.g. Stevens tenotomy scissors); small self-retaining retractors (Gelpi, sternomastoid);
sterile cotton tips can be helpful for fine dissection; bipolar diathermy. It is essential to have in-house serum
calcium measurement, ideally ionized calcium.

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