Overview? Thyroidectomy is a surgery that involves the removal of all or part of the thyroid gland. Thyroid is an H-shaped gland located in the neck and produces several hormones such as thyroxine, triidothyronine , calcitonin, etc that regulates metabolism and other important functions of the human body. Thyroidectomy is advised when one of the following conditions is found in a person;
Non-cancerous enlargement or nodule
Candidates for Thyroidectomy Surgery:
Thyroidectomy may be recommended for any of the following:
Hyperthyroidism (overactive thyroid) after failure of medications
Hypothyroidism (underactive thyroid) with enlargement of the gland
Cancer of the thyroid
Noncancerous thyroid nodules that cause breathing or swallowing problems
Preparation for Thyroidectomy Surgery: Prior to any surgery, your doctor will give you a complete medical examination and evaluate your overall health and your health history. You may be required to get additional tests such as X-rays and lab tests. Your doctor will also review with you the potential risks and benefits of the operation and will ask you to sign a consent form. It is important that you ask questions and be sure you understand the reason for the surgery as well as the risks. It is important that you inform your doctor if you have allergies to any medications, what medications you are taking, and if you have bleeding problems. It is also important to inform your doctor if you are pregnant. Your doctor will also give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly.
Thyroidectomy Surgery Procedure:
Before a thyroidectomy is performed, a variety of tests and studies are usually required to determine the nature of the thyroid disease. These include Blood test (to determine the levels of active thyroid hormone), Sonograms and computed tomography scans (to determine the size of the thyroid gland and location of abnormalities), A thyroid nuclear medicine scan (to assesses the function of the gland), A needle biopsy may also be done. In most cases, the surgery takes a maximum of two hours.
Partial Thyroidectomy takes somewhere around 45 minutes to an hour and Total Thyroidectomy may take an hour and a half or two hours.
Surgery may be inpatient or outpatient, depends on the condition of the patient. It is performed under general anesthesia or local anesthesia. Thyroidectomy is performed either by a general surgeon or an otolaryngologist. The surgeon makes an incision in the front of the neck and ensures that the parathyroid glands and the recurrent laryngeal nerves are not injured. The blood supply to the portion of the thyroid gland that is to be removed is clamped off. Then all or part of the gland is removed. A drain which is a soft plastic tube that drains fluid out of the area may be placed before the incision is closed. The incision is closed either with sutures or metal clips. A dressing is placed over the incision and the drain, if one is used.
Types of Thyroidectomy Surgery:
Hemithyroidectomy - A hemithyroidectomy is the removal of one of the lobes of the thyroid gland. Hyperthyroidism is a nodule in the thyroid gland that may produce excessive thyroid hormone.
Subtotal Thyroidectomy - This procedure performed to remove a lobe, the isthmus, or a part of the other lobe of the thyroid gland.
Partial Thyroidectomy – Removal of gland in front of trachea after mobilisation.
Near Total Thyroidectomy- This operation involves removal of all or nearly all of the thyroid gland. It may be done for benign thyroid conditions that affect both thyroid lobes, such as large goiter or Graves' disease, or cancer.
Total Thyroidectomy- The entire gland is removed. It is performed in case of follicular carcinoma of thyroid.
Hartley Dunhill Surgery- Hartley Dunhill surgery is a removal of one entire lateral lobe with isthmus and partial or subtotal removal of opposite lateral lobe.
Recovery After Thyroidectomy Surgery: Once the surgery is complete, nurse will monitor your recovery in a post-operative or recovery unit. You will be educated on how to change your dressings and properly care for your incision. You should inspect the incision daily and report any redness or other signs of infection to your physician. If the entire gland is removed, you will be required to take thyroid supplements for life. Most patients are discharged from the hospital one to four days after the procedure. Most resume their normal activities two weeks after the operation. Patients who have cancer may require subsequent treatment by an oncologist or an endocrinologist.
Follow-Up Care Post Thyroidectomy Surgery:
Clean the wound with hydrogen peroxide using a cotton swab twice each day
Apply antibiotic ointment (bacitracin or polysporin) to the wound
If you have a bulb type drain, empty the drain bulb twice each day and record the output
The skin around the incision will be numb for several months after surgery
Three weeks after surgery, you may begin to massage the wound using a vitamin E or aloe containing lotion or oil. This will soften the scar over time
The sutures or the metal clips are removed three to seven days after the operation. Once the sutures are out, you may wash the wound with mild soap and water and gently dry the area
Benefits of Thyroidectomy Surgery: Surgery is excellent therapy for hyperthyroidism with hardly any complications or recurrences. It is a great relieve for those not able to conceive and renders childbearing possible. Thyroidectomy also helps in avoiding long-term side-effects of antithyroid medications. Advanced technology and modern methods of treatment have decreased risks greatly and improved results of thyroidectomy. The new minimally invasive video-assisted thyroidectomy has several advantages over the current standard treatment which include smaller incisions that allows patient to heal faster. This helps patient to return to their normal lives sooner.
Side- effects of Thyroidectomy Surgery:
Symptoms of hypoparathyroidism, which include tingling and spasms of the extremities
Redness or swelling around the incision
Drainage from the incision
Thyroidectomy Surgery in India:
Indian hospitals use most advanced and modern techniques and methods for Thyroidectomy surgery. There are many highly skilled consultant surgeons who use the most up to date, specialized techniques. These surgeons successfully discharge each case they handle safely and comfortably. Most of the hospitals in India have state-of-the-art facility and high class infrastructure that provide all the resources for critical surgeries like Thyroidectomy surgery. Indian hospitals offer these services in a comfortable setting where the staff is friendly and compassionate. The surgeons in India deal very efficiently with all the doubts and fears that a patient may have.
Cities in India that offer Thyroidectomy surgery at one of the best hospitals are as follows;
Cost of Thyroidectomy Surgery in India:
Indianfacilitates a plethora of services to the medical tourists that includes, a hassle free and discounted travel option. India offers a significantly lower cost for hernia repair and treatment. Surgery rates in U.S and UK are most of the times very expensive and beyond one’s budget, for such people low cost Thyroidectomy surgery can be quite a relief. In India, Thyroidectomy surgery is available for a fraction of the cost of that in the developed countries.
Some of the common countries from which patients travel to India for surgery are:
Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service.
Mumbai - Formerly known as Bombay, is the commercial & financial capital city of India. Mumbai is famous for many things, including its thriving Bollywood film industry, teeming bazaars, colonial-style buildings, Art Deco structures and a superb choice of restaurants, often being rated as the dining capital of India. The tourist district of Colaba in Mumbai is a great place to start exploring this great city.
Hyderabad – Hyderabad city is a great place to visit in the state of Andhra Pradesh. The place has witnessed a continuous growth for last many years. Hyderabad has become a tourist hotspot following ever increasing number of tourists during past few years. Hyderabad has a well-founded reputation as one of the safest cities in the world.
Goa - The country's smallest state and famed for its colonial Portuguese and Catholic past, most tourists visit Goa for its endless selection of sandy beaches and coastal attractions. Standing proudly next to the Arabian Sea, Goa is a particularly compact state and often feels like a large town, being easy to travel. Around Goa, tourists will soon realize that the state has much more to offer than simply stunning beaches, fishing, water scooters, windsurfing and scuba diving.
Bangalore - Beauty lies in the eyes of beholder and if you want to see one of the most beautiful places in India then Bangalore is the word for it. Bangalore has earned sobriquets like 'Silicon Valley of India', 'Pub Capital of India', and 'City of Gardens'. Pleasant climate with colorful gardens with lakes and glittering nightlife, Bangalore has made its own attraction for travelers as one of the most charming cities in India,
Nagpur - Nagpur is the largest city in central India, but with its friendly atmosphere and dependable transportation, you’ll instantly feel at home. The city of Nagpur has a well-built infrastructure, is a clean and affluent city which makes a good jumping-off point for a series of trips into the far eastern corner of Maharashtra..
Kerala - Welcome to Kerala, state in India's southern tip and a state known as God's Own Country. Kerala is one of the ten 'Paradises Found' by the National Geographic Traveler, for its diverse geography and overwhelming greenery. It is a land much acclaimed for the contemporary nature of its cultural ethos, and much appreciated for the soothing, rejuvenating paradise that it is.
Delhi - Delhi, the capital of India is situated in the northern part of the country. Apart from being the capital of India, Delhi is also the travel hub of northern India. It serves as an excellent base for visiting the colorful state of Rajasthan, and Agra, the city of the Taj Mahal, is less than three hours away. Discover the many tales behind Delhi’s ancient, bewitching existence. Feel the excitement of stepping foot on a piece of the world’s oldest land!
Pune - Pune is the eighth largest city in the India state of Maharashtra. The city derives its name from Punya Nagari, which means 'the city of virtuous deeds.'Pune or the 'Queen of Deccan' is known for its educational, research and development institutions. This beautiful city has many exotic locales attracting innumerable tourists.
Jaipur – Jaipur is located in India and attracts a flurry of tourists from all over the world. Sited within eastern Rajasthan, North India, the city of Jaipur is famed for its hilltop fortresses, magnificent royal palaces and historic pink-painted sandstone architecture, earning it the affectionate nickname of the 'Pink City'.
Chennai - Chennai formerly known as Madras is the capital city of the Indian state of Tamil Nadu. It is famous for its culture and tradition. Chennai hosts a large cultural event, which includes performances by hundreds of artists. The city has a vibrant theatre scene and is an important centre for the Bharatanatyam, a classical dance form.
Gurgaon – It is one of the four important satellite cities of the National Capital Region and is often referred to as the 'Millennium City.' Gurgaon has recently emerged as the latest hub for Medical Tourism. Apart from being IT hub and a favorite haunt for MNC offices, the city has a number of world class hospitals that not only treat Indian citizens but also people from outside.
Chandigarh - Chandigarh is a rare epitome of modernization co-existing with nature's preservation. It is here that the trees and plants are as much a part of the construction plans as the buildings and the roads. India’s first planned city, Chandigarh is a rich, prosperous, spic and span, green city rightly called “THE CITY BEAUTIFUL”.
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