Related Experiment Video
Updated: Feb 14, 2026
05:36
Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
733
Maximum cosmesis for patients with primary hyperparathyroidism: a case for larger incisions
Yazan N AlJamal1, Raaj K Ruparel1, Steven R Jacobson2
1Division of Subspecialty General Surgery, Mayo Clinic College of Medicine, Rochester, MN, USA.
Journal of Surgical Case Reports
|February 10, 2018
Summary
This study presents a novel surgical approach for primary hyperparathyroidism in patients with excess neck skin. A vertically-oriented cervical excision combined with Z-plasty offers a cosmetic and efficient solution.
Area of Science:
- Endocrine Surgery
- Surgical Oncology
- Plastic Surgery
Background:
- Minimally invasive parathyroidectomy is standard for most patients.
- Some patients may benefit from extended skin resection for optimal outcomes.
- Primary hyperparathyroidism can coexist with cosmetic concerns like excess neck skin.
Observation:
- An 80-year-old woman with primary hyperparathyroidism and excess neck skin was treated.
- A vertically-oriented cervical excision was performed, removing an ellipse of skin and fat.
- The parathyroid adenoma was successfully excised during this procedure.
Findings:
- The technique allowed for straightforward adenoma excision.
- Midline wound closure with a Z-plasty ensured a cosmetic result.
- This approach is within the capabilities of endocrine surgeons.
Implications:
- This technique offers an efficient surgical solution for select patients.
- It may reduce the need for separate cosmetic surgery procedures.
- The case highlights the balance between efficient surgical care and patient aesthetics.
Related Concept Videos
01:13Maximum Deflection
1.1K
When analyzing beams under unsymmetrical loads, such as a train moving on a bridge, it is crucial to accurately determine the points of maximum stress and deflection. The process involves identifying the maximum deflection of the beam, which may not always occur at its midpoint due to the uneven distribution of the load.
The maximum deflection occurs at a specific point, known as point O, where the tangent to the deflection curve is horizontal. To find point O, the slope of the tangent at any...
The maximum deflection occurs at a specific point, known as point O, where the tangent to the deflection curve is horizontal. To find point O, the slope of the tangent at any...
1.1K
01:27Ethnic Identity within a Larger Culture
344
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
344
01:16Maximum Power Transfer
958
Numerous practical applications within engineering disciplines, such as telecommunications, necessitate optimizing power delivery to a connected load. This pursuit, however, entails inherent internal losses, which can either equal or exceed the power supplied to the load. The Thevenin equivalent circuit is helpful in finding the maximum power a linear circuit can deliver to a load. It is assumed in this context that the load resistance can be adjusted.
By substituting the entire circuit with...
By substituting the entire circuit with...
958
01:12Maximum Size of Aggregate
577
The maximum size of aggregate is defined as the aperture of the sieve retaining 15 percent or more of the particles present in the aggregate sample. The aggregate's maximum size impacts the concrete's water requirement, workability, and strength. Larger aggregates reduce the surface area needing cement paste coverage, which can lower water needs, thereby allowing a decrease in the water-to-cement ratio when the desired workability and richness of the mix are to be maintained, which can...
577
01:20The Maximum Power Transfer Theorem
1.3K
Consider a linear AC Thevenin equivalent circuit connected to a load impedance.
The load connected draws the current, and the circuit delivers the power to the load. The alternating current flowing through the load is determined using the rectangular form of voltages, currents, network impedance, and load impedance. The average power delivered to the load is obtained from the product of the square of current and load resistance.
The load connected draws the current, and the circuit delivers the power to the load. The alternating current flowing through the load is determined using the rectangular form of voltages, currents, network impedance, and load impedance. The average power delivered to the load is obtained from the product of the square of current and load resistance.
1.3K
01:23Maximum Power Flow and Line Loadability
627
The maximum power flow for lossy transmission lines is derived using ABCD parameters in phasor form. These parameters create a matrix relationship between the sending-end and receiving-end voltages and currents, allowing the determination of the receiving-end current. This relationship facilitates calculating the complex power delivered to the receiving end, from which real and reactive power components are derived.
627