METHOD FOR ENDOVIDEOSURGICAL APPROACH FOR PARATHYROIDECTOMY Russian patent published in 2015 - IPC A61B17/00 A61B17/94 

FIELD: medicine.

SUBSTANCE: method involves approaching out of a projection of the parathyroid gland on the pathologically involved side. Two trochars are inserted at an intersection of the parasternal and anterior axillary lines with the second intercostal space. One more trochar is introduced along an inferior edge of the mastoid bone. A layer between the superficial leaf of the pectoral fascia and the greater pectoral muscle is dissected. A window is created between the m. stemocleidomastoideus legs. Lateral edges of the prethyroid muscles are transected. Anterior and lateral surfaces of the thyroid lobes are separated on the operated side. Typical parathyroid regions are inspected. The parathyroid containing a new growth is visualised.

EFFECT: reducing surgical injuries, postoperative pain syndrome, probability of postoperative complications by decreasing an area of separated tissues when forming a subfascial tunnel, enabling the inspection of the surgical area at different angles of vision, preventing an instrumental conflict and achieving a high degree of aesthetic outcome by the technique of trocar insertion and minimum length of incisions.

10 dwg