Thyroid Parathyroid Surgery

The thyroid gland is the organ responsible of supplying energy to the body through the production of a hormone known as the Thyroid hormone.
The thyroid is located in the neck stradling the trachea. It has two lobes and they are connected in the middle by a bridge called the isthmus.
The thyroid sometimes has to be removed partially or completely mainly due to tumors (benign or malignant), or due to hyper functioning that could not be controlled medically.


SURGiAL FACTS

The operation can be done as outpatient or with only 24 hr observation.
On occasions we leave a drain to be removed 24 hr later. This will be dependent on the difficulty of surgery and amount of vascularity of the gland.
The incision is accross the neck and it heals very well. Initially may be swollen and prominent, but it turns almost invisible with time.
There are no stitches to remove, they dissolve in time.
After surgery there is not much down time, and most people go back to normal activities within a week.

Surgical risks

  • Bleeding - this is applicable to any surgical procedure. In this surgery it is usually controlled without issues during surgery or by the drain left in place

  • Infection - rarely seen with this type of procedure

  • hypocalcemia or hypoparathyroidsm. This can happend more often with total thyroidectomy if the four parathyroid glands are injured or inadvertendly removed.

  • Hoarseness or voice changes - This can happen if any of four nerves are damaged. These are the superior laryngeal and recurrent laryngeal nerves. There are two of each in each side of the neck and they run on top and behind the thyroid lobes. IF this happened the voice can recover spontaneously and if it does not, the patient can have a surgical procedure to repair the damage.

  • Need for more surgery - if part of the gland is removed for a tumor, and in final pathology comes as cancer, we may have to go back and remove the rest.

Parathyroid surgery

SURGICAL FACTS

The parathyroid glands are in the neck behind the thyroid gland. They are usually 4, two in each side.
These glands are in charge of modulating calcium levels in the body by a combination of reabsorption of bone and excretion in te urine.
The most common reason for surgery of the parathyroids is the need to remove one or several glands due to over production of the hormone called prathyroid hormone. This excess hormone in turn causes calcium to be elevated. This calcium elevation can damage organs and cause a series of health problems.
There is also a chance that the parathyroid develops a cancerous tumor, but that is less common.


​RISKS

  • Bleeding - any operation carries this risk, but it is minimla and we do all possible to minimize any blood.

  • infection - very unlikely with this type of surgery

  • low calcium - sometimes this happens shrt term and other times a permanent issue that will require supplementation

  • need for more surgery - If we remove a gland that is enlarged and the calcium remains high, we may have to return to the OR and remove other glands

  • nerve damage - As with thyroid surgery, the nerves that go to the vocal cords can be damaged and cause hoarseness or voice changes. These can be temporary or permanent. IF permanent, then a surgical procedure could be done to improve the voice.

Lugo Surgical Group

150 Pine Forest Dr,,

Shenandoah, TX 77384

Phone. 832-377-5846

Email. lugosurgicalgroup@gmail.com