Total Thyroidectomy Surgery in Mumbai, India
Overview
Total thyroidectomy is the surgical removal of the whole thyroid gland and thyroid tissues due to various medical conditions affecting the thyroid gland that could lead to swelling, inflammation, or nodule formation. It is the treatment of choice for thyroid carcinoma.
In addition, total thyroidectomy is to cure other conditions, such as goitre (multinodular or substernal) and Graves’ disease.
Alternate Name of Total Thyroidectomy Surgery
Thyroid Gland Removal
Body Location
Thyroid Gland
How is Total Thyroidectomy Surgery Performed?
Being a surgical procedure, total thyroidectomy is done under general anaesthesia that will make you fall asleep and become insensitive to sensations within a few minutes. After that, the surgeon makes an incision on the neck around the area of the thyroid gland and carefully removes the entire gland while preventing damage to adjoining glands or nerves.
The vitals are monitored throughout the surgery. Once the patient regains consciousness and is stable, he is transferred to the observation room and kept under observation for approximately 1-2 days, depending on his condition.
Advanced techniques such as robotic thyroidectomy are also available where the entire thyroid gland is removed with the aid of a robot. These types of surgeries are very precise and reduce the risk of complications.
Preparation of Total Thyroidectomy Surgery
- Pre-operative tests: Before surgery, the patient must undergo a few blood tests, such as a complete blood count, basic metabolic profile, blood coagulation profile, and blood pregnancy test for women of reproductive age. In addition, a chest X-ray and electrocardiogram (ECG) may be advised by the doctor to rule out any cardiac or pulmonary complications.
- In cancerous cases, the doctor might recommend undergoing fiberoptic laryngoscopy or chest CT- scan to monitor other internal organs.
- The patient should have an empty stomach during the operation and should not eat or drink anything post-midnight, the day before the surgery. Anti-anxiety medications may be administered to calm the nerves.
- The patient should reach the hospital at least four hours before the surgery, as he will be admitted and kept under observation for some time before the surgery starts.
Procedure Type
Surgical procedure
Risks For Total Thyroidectomy Surgery
- Blood loss: Usually, the surgery is safe; however, in complicated cases, excessive blood loss could occur and might require additional interventions.
- Injury: During the removal of the thyroid gland, an injury could occur to the adjoining parathyroid glands leading to calcium deficiency and muscle spasms or recurrent laryngeal nerve leading to voice hoarseness.
- Infection: Although the surgery is carried out in aseptic conditions, there are chances of an infection that could complicate the surgery and might require antibiotics.
Recovery
Recovery after thyroid surgery is usually quick and without complications. However, the patient should always look for any signs of complications. He should follow up with the surgeon at the scheduled visit to ensure anticipated progress.
Incision care: The incision will be covered with a protective strip and the patient can go ahead with bathing or washing the hair; however, rubbing of the incision area must be avoided. The strip will go off in a few days on its own as the glue gets loose and then anti-scan lotions can be used over the incision lining.
In rare cases, one may experience bleeding or voice hoarseness, but these symptoms are also temporary and resolve on their own.
The doctor might put the patient on calcium supplements to overcome potential calcium deficiency due to parathyroid injury.
Frequently Asked Questions
1. What is a total thyroidectomy surgery?
A total thyroidectomy surgery is a surgical procedure where the entire thyroid gland is removed. The thyroid gland is a butterfly-shaped gland located in the neck that produces hormones that regulate the body's metabolism.
2. How is a total thyroidectomy surgery performed?
A total thyroidectomy surgery is typically performed under general anaesthesia. The surgeon makes an incision in the neck and carefully removes the entire thyroid gland. The parathyroid glands, which regulate calcium levels in the body, are usually preserved.
3. Can I talk after total thyroidectomy surgery?
You may have temporary hoarseness or voice changes after total thyroidectomy surgery. Most people improve over time, but in some cases, voice changes or difficulty speaking, swallowing, or breathing may persist if the nerves or surrounding structures are affected.
4. What is the recovery time for total thyroidectomy surgery?
The recovery time for total thyroidectomy surgery varies from person to person. Most patients are able to leave the hospital within a few days after surgery and resume normal activities within a week or two, as advised by the surgeon.
5. Do I need to take thyroid hormone replacement therapy after a total thyroidectomy surgery?
Yes, if you have had a total thyroidectomy surgery, you will need to take thyroid hormone replacement therapy for the rest of your life. Without a thyroid gland, your body cannot produce thyroid hormone on its own, which can lead to symptoms such as fatigue, weight gain, and low mood.