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Thyroid Surgeries

Thyroid operations are performed for different thyroid conditions that can bebenign (like goitre) or cancerous. The surgeon may perform different types of surgeries depending upon the patient condition and disease associated like:
Thyroid cancer
A large non-cancerous (benign) nodule that causes breathing or swallowing difficulties
A recurrent fluid-filled (cystic) nodule
Hyperthyroidism that is not treatable with medicines or radioactive iodine
The extent of removal of thyroid gland is different for different diseases and surgeon may opt for any of the following procedures:
Thyroid Lobectomy with or without an isthmectomy : This involves removal of nodules located in one lobe of the thyroid gland. Isthmectomy is the removal of the isthmus (the narrow band of tissue) that connects the two lobes.
Indication: Overactive one-sided nodules
Benign one-sided nodule
Total thyroidectomy: This procedure involves removal of all the identifiable thyroid tissue including the entire gland and the lymph nodes surrounding the gland.
Indication: thyroid cancers
Subtotal (near-total) thyroidectomy: The procedure involves removal of one complete lobe, the isthmus, and part of the other lobe.
Indication: Hyperthyroidism caused by Graves’ disease, multi nodular goitres.
Considerations after thyroid surgeries:
Patient will develop hypothyroidism and need to take thyroid medicine for the rest of their life
In case of thyroid cancer patients, radioactive iodineis prescribed after surgery
Patient may have low calcium levels and need to take calciumsupplements.

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