Lesson 1Selection of operative approach: hemithyroidectomy, total thyroidectomy, completion thyroidectomyCovers rules for picking half thyroidectomy, full, or finishing thyroidectomy, mixing tumour traits, risk grouping, past surgery, patient choice, and guidelines, plus counselling on risks, gains, and long-term hormone follow-up.
Oncologic and benign disease indicationsRisk stratification and guideline useWhen to choose hemithyroidectomyIndications for total or completion surgeryShared decision making with patientsLesson 2Immediate postoperative monitoring: airway, hematoma recognition and management algorithmsOutlines right after surgery watch post thyroidectomy, focusing airway check, early neck swelling spot, standard watch plans, step-up paths, and clear steps for bedside and surgery handling.
Postanesthesia airway assessment stepsNeck wound checks and early warning signsHematoma risk factors and preventionBedside decompression and emergency stepsCriteria for urgent return to the ORLesson 3Role and practical use of intraoperative nerve monitoring: indications, limitations, and alternativesLooks at nerve monitoring during surgery basics, when to use, setup, electrode placing, stimulation steps, fixing signal loss, reading muscle signals, limits, and safe options when not available.
Basic principles of nerve monitoringIndications and patient selectionEquipment setup and troubleshootingInterpreting EMG signals and alertsSurgery without monitoring: safe strategiesLesson 4Calcium and PTH monitoring protocols after thyroidectomy and initiation of thyroid hormone replacementCovers plans for after surgery calcium and PTH tests, risk grouping for low calcium, mouth and vein calcium and vitamin D plans, when to start hormone, and dose changes based on TSH and risk.
Timing of calcium and PTH measurementsRisk stratification for hypocalcemiaOral and IV calcium and vitamin D regimensInitiating levothyroxine after surgeryTSH targets and dose adjustment plansLesson 5Anesthesia considerations and perioperative optimization including anticoagulation managementCovers anaesthesia planning for thyroid surgery, airway check, tube strategies, handling other illnesses, around surgery blood thinner changes, fluid and pressure goals, and after pain and sick feeling control.
Airway assessment and intubation planningManagement of comorbid conditionsAnticoagulation and antiplatelet adjustmentIntraoperative hemodynamic and fluid goalsPostoperative analgesia and nausea controlLesson 6Hemostasis techniques, use of energy devices, and management of problematic bleedingFocuses careful bleeding stop in thyroidectomy, comparing stitch tying, clips, energy tools, safe use near nerves and parathyroids, preventing neck swelling, and step-by-step handling of sudden heavy bleeding.
Vascular anatomy relevant to hemostasisSuture ligation and clip techniquesTypes and settings of energy devicesSafe use near nerves and parathyroidsAlgorithm for intraoperative bleedingLesson 7Identification, preservation, and autotransplantation of parathyroid glandsExplains ways to find and keep parathyroid glands, normal and odd spots, blood supply, avoiding blood cut-off, when to replant, grafting ways, and after checks for working.
Recognizing normal and ectopic parathyroidsMaintaining parathyroid blood supplyWhen to perform autotransplantationAutotransplantation sites and techniqueAssessing postoperative parathyroid functionLesson 8Lymph node management: central compartment dissection indications and extentReviews when and how much central neck node removal in thyroid cancer, body limits, cancer reasons, prevent vs treat removal, surgery steps, and ways to cut nerve and parathyroid harm.
Central compartment anatomy and nodal levelsOncologic indications for central neck dissectionProphylactic versus therapeutic dissectionTechnical steps and key landmarksProtecting nerves and parathyroid glandsLesson 9Management of common complications: hypocalcemia, vocal cord palsy, wound infection, and seromaDeals early problems after thyroidectomy, like low calcium, voice cord weakness, wound infection, fluid pocket, stressing spot, tests, quick handling, patient talk, and when to send to specialist.
Recognition and treatment of hypocalcemiaEvaluation of vocal cord dysfunctionPrevention and care of wound infectionSeroma prevention and aspiration techniquePatient education and follow‑up planningLesson 10Intraoperative strategy for recurrent laryngeal nerve identification and preservationDescribes orderly ways to find and protect recurrent laryngeal nerve, body changes, cut planes, capsule method, hard scar or redo cases, and handling nerve damage during surgery.
Key anatomic landmarks of the RLNInferior, lateral, and superior approachesCapsular dissection and safe planesManaging scarring and reoperative fieldsHandling suspected nerve injury
