A breathing tube will then be placed in your trachea to assist breathing throughout the procedure. The surgical team places several monitors on your body to help make sure that your heart rate, blood pressure and blood oxygen remain at safe levels throughout the procedure.
These monitors include a blood pressure cuff on your arm and heart-monitor leads attached to your chest. Once you're unconscious, the surgeon makes a cut incision low in the center of your neck. It can often be placed in a skin crease where it will be difficult to see after the incision heals.
All or part of the thyroid gland is then removed, depending on the reason for the surgery. If you're having thyroidectomy as a result of thyroid cancer, the surgeon may also examine and remove lymph nodes around your thyroid. Thyroidectomy usually takes one to two hours. It may take more or less time, depending on the extent of the surgery needed.
After surgery, you're moved to a recovery room where the health care team monitors your recovery from the surgery and anesthesia. Once you're fully conscious, you'll be moved to a hospital room. Some people may need to have a drain placed under the incision in the neck.
This drain is usually removed the morning after surgery. After thyroidectomy, a few people may experience neck pain and a hoarse or weak voice.
This doesn't necessarily mean there's permanent damage to the nerve that controls the vocal cords. These symptoms are often short-term and may be due to irritation from the breathing tube that's inserted into the windpipe during surgery, or be a result of nerve irritation caused by the surgery.
You'll be able to eat and drink as usual after surgery. Depending on the type of surgery you had, you may be able to go home the day of your procedure or your doctor may recommend that you stay overnight in the hospital.
When you go home, you can usually return to your regular activities. Wait at least 10 days to two weeks before doing anything vigorous, such as heavy lifting or strenuous sports. It takes up to a year for the scar from surgery to fade. Your doctor may recommend using sunscreen to help minimize the scar from being noticeable.
If only part of your thyroid is removed, the remaining portion typically takes over the function of the entire thyroid gland. So you might not need thyroid hormone therapy. When an experienced surgeon performs thyroid removal surgery, the risk of serious complications is low.
However, all surgeries involve some risks. The four parathyroid glands help control the amount of calcium in the blood. After total thyroidectomy, a doctor will monitor parathyroid hormone and calcium levels to detect any need for calcium or vitamin D supplementation. Symptoms of low blood calcium include numbness and tingling sensations or muscle cramps.
Another potential complication is that a person will need to take thyroid hormone replacement medication. If the surgeon removes the entire thyroid, a person will need lifelong hormone replacement. This involves taking levothyroxine Synthroid , a synthetic version of the thyroid hormone.
If the surgeon removes only part of the thyroid, there is an 80 percent chance that the remainder of the gland will start producing enough hormone, and a person will not need replacement medication. However, if the thyroid gland was underactive hypothyroidism , and a person was already taking thyroid hormone replacement, they will likely need to continue taking it after surgery.
Most people can return to their regular activities the day after thyroid removal surgery. Limit participation in physical activities or sports for a few days or weeks , or until a doctor says it is safe to start again. A person will likely have a sore throat for a few days.
Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can usually reduce the pain. If the pain is severe, a doctor might prescribe a stronger pain reliever.
A person should notify their doctor if they experience hoarseness in their voice or difficulty breathing. Thyroid removal surgery can treat a range of problems. The risk of complications is low, but a person may need to take thyroid hormone replacement medication for the rest of their life. A doctor will provide detailed instructions on how to prepare for the surgery and support a smooth recovery.
Most sore throats are treatable at home. These limitations are brief, usually followed by a quick transition back to unrestricted activity. Normal activity can begin on the first postoperative day. Vigorous sports, such as swimming, and activities that include heavy lifting should be delayed for at least ten days to 2 weeks.
Once you have recovered from the effects of thyroid surgery, you will usually be able to do anything that you could do prior to surgery. Some patients become hypothyroid following thyroid surgery, requiring treatment with thyroid hormone see Hypothyroidism brochure. This is especially true if you had your whole thyroid gland removed.
Generally, you will be started on thyroid hormone the day after surgery, even if there are plans for treatment with radioactive iodine. El folleto de Cirugia De La Tiroides. For information on thyroid patient support organizations, please visit the Patient Support Links section on the ATA website at www. Thyroid Surgery. You have a diagnosis of thyroid cancer.
You have a nodule or goiter that is causing local symptoms — compression of the trachea, difficulty swallowing or a visible or unsightly mass. Removal of part of the thyroid can be classified as: An open thyroid biopsy — a rarely used operation where a nodule is excised directly; A hemi-thyroidectomy or thyroid lobectomy — where one lobe one half of the thyroid is removed; An isthmusectomy — removal of just the bridge of thyroid tissue between the two lobes; used specifically for small tumors that are located in the isthmus.
Finally, a total or near-total thyroidectomy is removal of all or most of the thyroid tissue. Figure 1 The recommendation as to the extent of thyroid surgery will be determined by the reason for the surgery. Thyroid Surgery FAQs. Are there other forms of treatment? How should I be evaluated prior to the operation? How do I select a surgeon? What are the risks of the operation? How much of my thyroid gland needs to be removed? Will I need to take a thyroid pill after my operation? What can I expect once I decide to proceed with surgery?
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