Minimally invasive video-assisted thyroidectomy (MIVAT), also known as endoscopic thyroidectomy, is a surgical technique that allows the surgeon to perform thyroid surgery through a very small incision in the neck. This technique, which has been utilized in Europe since 1998, has in the recent years gained popularity in the US. MIVAT has made it possible to remove small and medium sized thyroid glands from incisions as small as 2 centimeters.

MIVAT fiberoptic endoscopes and harmonic scalpels, are utilized to reduce the incision size and surgical dissection. Endoscopes, which magnify the surgical area by 10 times, are introduced through a small incision in the neck. This allows for better vitalization of major structures, such as the recurrent laryngeal nerve and parathyroid glands. In addition, the use of the harmonic scalpel, a novel surgical instrument that utilizes harmonic frequency to perform suture-less division of tissues and vessels, results in less tissue dissection and hence reduced trauma and blood loss. The smaller incision and reduced tissue manipulation result in a faster and more comfortable recovery.
Thyroidectomies performed using MIVAT have smaller incisions, are less invasive, less painful and result in smaller scars. This technique has gained popularity because it is safe, has a faster recovery period and achieves an esthetically pleasing scar.
Thyroid disease can be very serious if left untreated and it is important to see a doctor promptly if you think you may be affected by a thyroid disorder. Dr. Zadeh is committed to providing the highest quality care possible so that his patients achieve fast and effective treatment. Dr. Zadeh implements distinctive surgical approaches using the safest, most advanced, and minimally invasive techniques. Dr. Zadeh is focused on cutting-edge techniques and treatment options that offer his patients the greatest outcomes while minimizing risk.
Minimally invasive video-assisted parathyroidectomy (MIVAP), also known as endoscopic parathyroidectomy, is a surgical technique that allows the surgeon to perform parathyroid surgery through a very small incision in the neck. This technique, which has been utilized in Europe since 1998, has in the recent years gained popularity in the US. MIVAP has made it possible to remove parathyroid tumors from incisions as small as 2 centimeters.
MIVAP fiberoptic endoscopes are utilized to reduce the incision size and surgical dissection. Endoscopes, which magnify the surgical area by 10 times, are introduced through a small incision in the neck. This allows for better vitalization of major structures, such as the recurrent laryngeal nerve and parathyroid glands. In addition, endoscopic techniques are use that result in less tissue dissection and hence reduced trauma and blood loss. The smaller incision and reduced tissue manipulation result in a faster and more comfortable recovery.
Parathyroidectomies performed using MIVAP have smaller incisions, are less invasive, less painful and result in smaller scars. This technique has gained popularity because it is safe, has a faster recovery period and achieves an esthetically pleasing scar.
Dr. Zadeh also utilizes rapid intra-operative parathyroid hormone assays. This is a specialized blood test that is elevated in patients with hyperparathyroidism and returns to normal within 10 minutes of removal of the abnormal Parathyroid Gland(s). Dr. Zadeh is therefore able to confirm the success of the surgery prior to the patient leaving the operating room. This minimally invasive approach significantly reduces operative time by avoiding unnecessary exploration and surgery. In addition, the risk of surgical complication is decreased and the recovery period is shortened.
Parathyroid disease can be very serious if left untreated and it is important to see a doctor promptly if you think you may be affected by a parathyroid disorder. Dr. Zadeh is committed to providing the highest quality and most efficient care possible so that his patients achieve fast and effective treatment. Dr. Zadeh implements distinctive surgical approaches using the safest, most advanced, and minimally invasive techniques. Dr. Zadeh is focused on cutting-edge techniques and treatment options that offer his patients the greatest outcomes while minimizing risk.