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Robotic Thyroidectomy - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Robotic Thyroidectomy - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
If you have a problem with your thyroid gland, your doctor may recommend a robotic thyroidectomy. Your thyroid gland is located over your larynx, or voice box. It wraps around your trachea, or windpipe. Your thyroid produces a hormone called thyroid hormone and secretes it directly into your bloodstream. Your body uses thyroid hormone to increase your energy and raise your body temperature when necessary. For example, these effects help offset the heat your body loses when exposed to cold weather. Your doctor may recommend a robotic thyroidectomy if you have certain thyroid cancers, an enlargement of the gland called a goiter, or benign nodules. Along with having these conditions, you may be considered for a robotic thyroidectomy if you are at a healthy weight, your thyroid cancer is less than an inch in diameter, your goiter or nodules are less than 1 and 1/2 inches, and you want to avoid scars on your neck. Before your procedure, an intravenous line will be started. You may be given antibiotics through the IV to decrease your chance of infection. You will be given general anesthesia. A breathing tube will be inserted through your mouth and down your throat, to help you breathe during the operation. Your surgeon will make a small incision in your armpit. This location allows your surgeon to reach your thyroid gland without leaving a scar on your neck. A second small incision may be made by your breast bone. Through the armpit incision, your surgeon will create a path under the skin of your chest and neck muscles to reach your thyroid gland. An assistant will insert the robotic arms with tools through the incisions. Unlike standard laparoscopic instruments, these tools can rotate 360 degrees, and have more flexibility than the human wrist. Seated at a special console, your surgeon will operate the robotic arms and the camera with joystick-like controls and foot pedals. A computer will translate the exact movements of your surgeon's fingers into precise movements of the surgical tools. At the same time, a high-definition vision system will provide a magnified, three-dimensional stereoscopic view of the surgical area. With the robotic arms in position, your surgeon will carefully separate your thyroid from the tissues around it. Depending on the reason for your surgery, your surgeon will remove one lobe of your thyroid or the entire gland. Your doctor may remove nearby lymph nodes as well. Near the end of your procedure, your surgeon will put a surgical drain in your armpit incision. The drain will remain there for several days. At the end of your procedure, the tiny incisions will be closed with stitches, staples, surgical glue, or closure tape dressings. After your procedure, your breathing tube will be removed, and you will be taken to the recovery area for monitoring. Your surgeon may check your larynx for injury. You'll be given pain medication as needed. You may continue to receive antibiotics through your IV. Most patients are released from the hospital one or two days after the procedure. Your doctor may prescribe calcium supplements. If your entire thyroid is removed, you will take daily thyroid hormone replacement medication.

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"This past year, your company prepared three medical illustrations for our cases; two in which we received six figure awards; one in which we received a substantial seven figure award. I believe in large part, the amounts obtained were due to the vivid illustrations of my clients' injuries and the impact on the finder of fact."

Donald W. Marcari
Marcari Russotto & Spencer, P.C.
Chesapeake, VA
"It is my experience that it's much more effective to show a jury what happened than simply to tell a jury what happened. In this day and age where people are used to getting information visually, through television and other visual media, I would be at a disadvantage using only words.

I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.

Animations are powerful communication tools that should be used wheneverpossible to persuade juries."

Andrew G. Slutkin
Snyder Slutkin & Kopec
Baltimore, MD
"Thank you for the splendid medical-legal art work you did for us in the case of a young girl who was blinded by a bb pellet. As a result of your graphic illustrations of this tragic injury, we were able to persuade the insurance company to increase their initial offer of $75,000.00 to $475,000.00, just short of their policy limits.

We simply wanted you to know how pleased we were with your work which, to repeat, was of superlative character, and to let you know that we would be more than willing to serve as a reference in case you ever need one. Many thanks for an extraordinary and dramatic depiction of a very serious injury which clearly "catapulted" the insurance company's offer to a "full and fair" amount to settle this case."

Philip C. Coulter
Coulter &Coulter
Roanoke, VA

"Thank you for the wonderful illustrations. The case resulted in a defense verdict last Friday. I know [our medical expert witness] presented some challenges for you and I appreciate how you were able to work with him."

Robert F. Donnelly
Goodman Allen & Filetti, PLLC
Richmond, VA













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