Thyroidectomy

Preop:

• make euthyroid
• propylthiouracil/carbimazole
• beta-blocker for symptomatic
• Lugol's iodine - reduce thyroid vascularity

Intraop:

• transverse incision over skin, fascia, platysma
• preserve and retract strap muscles
• incise pretracheal fascia
• mobilise thyroid
• identify and protect recurrent laryngeal nerve
• ligate superior thyroid art - laterally to avoid RLN
• ligate inf thyroid art
• excise
• close skin in layers