 The middle thyroid vein and inferior thyroid arteries were cross clamped and tied with #2-0 undyed Vicryl ties and also bipolared with the bipolar cauterization bilaterally. 
The middle thyroid vein and inferior thyroid arteries were cross clamped and tied with # 2 - 0 undyed Vicryl ties and also bipolared with the bipolar cauterization bilaterally .