Lesson 1Selection of operative approach: hemithyroidectomy, total thyroidectomy, completion thyroidectomyDis dey explain criteria for choosing half thyroidectomy, full, or finishing one, mixing tumor features, risk grouping, past surgery, patient choice, and guidelines, plus counseling on risks, benefits, 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 algorithmsDis dey outline after-surgery watch straight away after thyroidectomy, focusing on airway check, early neck swelling detection, standard watch protocols, escalation steps, and step-by-step plans for bedside and operation management.
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 alternativesDis dey explore nerve monitoring during surgery principles, when to use, setup, electrode place, stimulation steps, fixing signal loss, reading muscle signals, limits, and safe other ways when monitoring no dey.
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 replacementDis dey cover plans for calcium and PTH test after thyroidectomy, risk grouping for low calcium, mouth and vein calcium and vitamin D plans, when to start hormone, and dose change 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 managementDis dey cover anesthesia plan for thyroid surgery, airway check, intubation ways, handling other sicknesses, around-surgery blood thinner change, fluid and pressure targets, and after pain and vomiting 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 bleedingDis dey focus on good bleeding stop in thyroidectomy, comparing stitch tie, clips, energy tools, safe use near nerve and parathyroid, prevent neck swelling, and step management 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 glandsDis dey explain ways to find and save parathyroid glands, normal and wrong places, blood supply, avoid blood cut-off, when to transplant self, grafting ways, and after check if e dey work.
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 extentDis dey review when and how much central neck node removal in thyroid cancer, boundaries, cancer reason, prevent or treat dissection, steps, and ways to reduce nerve and parathyroid damage.
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 seromaDis dey handle early problems after thyroidectomy like low calcium, voice cord weak, wound infection, fluid collect, stressing spot am, tests, quick handle, patient talk, and when to send 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 preservationDis dey describe proper ways to find and protect recurrent laryngeal nerve, body variants, cut planes, capsule method, handle scar or re-do, and fix 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
