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What happens during a parathyroidectomy?
The surgeon makes an incision in the front of the neck where a tight-fitting necklace would rest. All of the parathyroid glands are identified. The surgeon then identifies the gland or glands with the disease.
Parathyroid gland removal?
DefinitionParathyroidectomy is surgery to remove parathyroid glands or parathyroid tumors. The parathyroid glands are right behind your thyroid gland in your neck. These glands help your body use calcium.Alternative NamesRemoval of parathyroid gland; ParathyroidectomyDescriptionYou will probably receive general anesthesia (asleep and pain-free) for this surgery. Or you may receive local anesthesia and medicine to relax you. You will be awake but pain-free.Usually the parathyroid glands are removed in open surgery, through a large incision (cut).Your surgeon will make a 4 - 6 inch incision in your neck just under your Adam's apple.Your surgeon will find the 4 parathyroid glands and remove any that are diseased.You may have a special blood test during surgery that will tell if all the diseased glands were removed.Your surgeon may use 1 of these 3 other surgery techniques. Your surgeon must know where any diseased parathyroid glands are before using any of these techniques.Minimally invasive parathyroidectomy: You may receive a shot of nuclear material before this surgery. If you have this shot, your surgeon will use a special probe, similar to a Geiger counter, to locate the parathyroid gland. Your surgeon will make a small cut (1 to 2 inches) on one side of your neck, and then remove the diseased gland through it. This procedure takes about 1 hour.Video-assisted parathyroidectomy: Your surgeon will make two small cut in your neck. One is for instruments, and the other is for a camera. Your surgeon will use the camera to see the area and will remove the diseased glands with the instruments.Endoscopic parathyroidectomy: Your surgeon will make two or three small incisions in the front of your neck and one cut above the top of your breastbone. A newer technique makes this third cut under your arm. This reduces visible scarring, pain, and recovery time. This cut is less than 2 inches long. The procedure to remove any diseased parathyroid glands is similar to video-assisted parathyroidectomy.Why the Procedure Is PerformedYour doctor may recommend parathyroidectomy if one or more of your parathyroid glands is producing too much parathyroid hormone. This condition is called hyperparathyroidism. It is often caused by a small benign (non-cancerous) tumor called an adenoma.Your doctor will consider many factors when deciding whether to do surgery and what type of surgery would be best for you. Some of these factors are your age, calcium levels in your urine and blood, and whether you have thin bones (osteoporosis).RisksRisks for any anesthesia are:Reactions to medicinesBreathing problemsRisks for any surgery are:BleedingInfectionRisks for parathyroidectomy are:Injury to the thyroid gland or the need to remove part of the thyroid glandHypoparathyroidism. This can lead to low calcium levels that are dangerous to your health.Injury to the nerves in your vocal cord. You may have a weaker voice or a hard time swallowing thin liquids.Difficulty breathing. This is very rare and almost always goes away several weeks or months after surgery.Before the ProcedureParathyroid glands are very small. You may need to have tests that show exactly where your glands are. This will help your surgeon find your parathyroid glands during surgery. Two of the tests you may have are a CT scan and an ultrasound.Before surgery, an anesthesiologist will review your medical history with you and decide what type of anesthesia to use. The anesthesiologist is the doctor who will give you the medicine that makes you asleep and pain-free during surgery and who monitors you during surgery.Fill any prescriptions for pain medicine and calcium you will need after surgery.Several days to a week before surgery, you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), naproxen (Aleve, Naprosyn), and other drugs like these.You will probably be asked to stop eating or drinking at least 6 hours before surgery.Ask your doctor which medicines you should still take the day of surgery.If you smoke, try to stop. Your recovery time will be shorter if you do not smoke. Ask your doctor or nurse for help.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureMany times, people can go home the same day they have surgery. You can start your everyday activities in a few days. It will take about 1 to 3 weeks for you to fully heal.After this procedure, you should have routine blood tests to check your calcium level.Outlook (Prognosis)People usually recovery very quickly after this surgery. Recovery is fastest when less invasive techniques are used.Sometimes, another surgery is needed to remove more of the parathyroid glands.ReferencesSosa JA, Udelsman R. The parathyroid glands. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 37.
What is done during a Parathyroid scan?
During a Parathyroid scan, a small amount of radioactive material is injected into the blood. Images are then taken with a special camera to locate any abnormal parathyroid glands. This helps to identify the cause of high parathyroid hormone levels or abnormal calcium levels in the body.
What happens if the laryngeal nerve is injured during a parathyroidectomy?
If this nerve is injured, the voice may become hoarse or weak.
Why are parathyroid scans not recommended during pregnancy?
Parathyroid scans are not recommended for pregnant women because of the potential harm to the developing fetus.
Why was ambroise pare a barber surgeon?
he worked as a barber surgeon during hard times and finally at the age of 19 he studied and became a surgeon
What type of care is needed after a parathyroidectomy?
The level of calcium in the body should be monitored during the first 48 hours after the operation by obtaining frequent blood samples for laboratory analysis.
How do you get deformed?
Sometimes you are born that way, or you may get injured and a plastic surgeon cannot help you, or they make an irreversible mistake during a surgery... beware of Heidi Montag. She doesn't have deformities, but she had many surgeries.
Who are a surgeons coworkers?
people that help the surgeon out during a suregry.
How can you find out if you had your cervix removed during your hysterectomy?
ask your doctor or surgeon
What is the goal of the surgeon during a of modified radical mastectomy?
The surgeon's goal during this procedure is to minimize any chance of local/regional recurrence; avoid any loss of function; and maximize options for breast reconstruction.
Why is a contrast dye sometimes inserted into the spinal fluid during a pallidotomy?
A contrast dye may also be injected into the spinal fluid, which allows the surgeon to visualize the brain's structure using one or more imaging techniques.
