What hormone, released by the adrenal cortex, is responsible…
Questions
Whаt hоrmоne, releаsed by the аdrenal cоrtex, is responsible for ion homeostasis?
Operаtive Repоrt PREOPERATIVE DIAGNOSIS: Left thyrоid nоdule, worrisome for pаpillаry carcinoma POSTOPERATIVE DIAGNOSIS: Same, final pathology pending PROCEDURE PERFORMED: Total thyroidectomy DESCRIPTION OF PROCEDURE: With the patient in supine position, after adequate level of anesthesia was obtained, the neck and upper chest were prepped with DuraPrep and draped in sterile fashion. A curved incision was made two fingerbreadths above the sternal notch. The branches of the anterior jugular veins were divided between 3-0 silk ligatures. The platysma was divided, and flaps were raised superiorly and inferiorly using electrocautery. The midline of the strap muscles was then divided. These were dissected away from the surface of the thyroid. On the left side, the middle thyroid vein was divided using the Harmonic scalpel. An inferior parathyroid was identified and swept away from the thyroid, with care taken to preserve its vascular pedicle. The left recurrent laryngeal nerve was identified. The superior pole of the thyroid was divided between clamps and ligated using 2-0 silk ligatures. A very firm 1-cm nodule was noted on the posterior aspect of the left mid-thyroid lobe. The thyroid was dissected away from the recurrent laryngeal nerve. The inferior polar vessels were divided using the Harmonic scalpel. Posterior aspect of the nodule was quite adherent, so that was left until last to divide. The right lobe of the thyroid was mobilized by dividing the middle thyroid vein using the Harmonic scalpel. The upper pole vessels were taken between clamps and divided. These were ligated using 2-0 silk ligatures. An inferior parathyroid gland was identified, and the parathyroid was dissected away from the thyroid, preserving the vascular supply. The right recurrent laryngeal nerve was identified and was spared. The thyroid was dissected away from this. Ligament was divided, and a small amount of tissue was left on this due to its proximity to the nerve. The right upper and lower pole were dissected off the trachea. The thyroid vein was divided using Harmonic scalpel. All the thyroid was dissected away from the trachea, and the adherent nodule required dissection with scissors to separate this from the larynx anterior surface. The entire specimen was sent for permanent sections. In the midline, the strap muscle was then closed using a 4-0 Vicryl suture. Interrupted 3-0 Vicryl suture was used for the platysma. The skin was closed using a running 4-0 Monocryl subarticular suture. Surgical glue was then applied. The patient was awakened from anesthesia, extubated, and taken to the recovery room in stable condition. Diagnosis code: First-Listed Procedure Code: