Lesson 1Selection of operative approach: hemithyroidectomy, total thyroidectomy, completion thyroidectomyCovers choosing half, full, or follow-up thyroid removal, mixing tumour details, risks, past surgery, patient choice, guidelines, and advice on risks, gains, and long-term hormone checks.
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 checks post thyroid removal, focusing on breathing watch, quick neck bleed spotting, standard watch plans, step-up paths, and handling steps at bedside or theatre.
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 during-surgery nerve watch basics, when to use, setup, electrode spots, test steps, fixing signal loss, reading muscle signals, limits, and safe backups without it.
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 post-surgery calcium and PTH test plans, low calcium risk sorts, mouth and vein calcium/vitamin D plans, hormone start timing, and dose changes by TSH and risks.
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 plans for thyroid work, airway checks, tube methods, health issue handling, blood thinner tweaks around surgery, fluid and pressure goals, and after pain/nausea 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 on careful bleed stopping in thyroidectomy, comparing stitches, clips, energy tools, safe use near nerves/glands, neck bleed prevention, and handling sudden heavy bleeds.
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 finding and saving parathyroid glands, normal and odd spots, blood supply, avoiding cut-off tricks, when to replant, planting methods, and after-function checks.
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 gland removal in thyroid cancer, borders, cancer reasons, prevention vs treatment, steps, and nerve/gland harm cuts.
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 seromaHandles early issues after thyroidectomy like low calcium, voice cord weakness, wound bugs, fluid pockets, stressing spot, tests, quick fixes, patient talks, and expert referrals.
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 steady ways to find and guard the voice nerve, odd paths, cut planes, capsule tricks, tough scar or redo cases, and injury fixes during surgery.
Key anatomic landmarks of the RLNInferior, lateral, and superior approachesCapsular dissection and safe planesManaging scarring and reoperative fieldsHandling suspected nerve injury
