SERVICES

Thyroidectomy



The thyroid gland, shaped like a bow-tie, rests at the stem of the neck and transverses the windpipe. This is an essential gland that secretes two hormones: Thyroxine (T4) and triiodothyronine (T3) which controls the body’s metabolism. The thyroid is susceptible to hypothyroidism, hyperthyroidism and enlarged thyroid, also known as goitre. Unexplained weight gain, depression and, in severe cases, dementia warrant a visit to the doctor to check for signs of thyroid disease. .

Types of thyroid diseases are:

  • Thyroid cancer first forms in the thyroid gland cells and may either be slow-growing or aggressive. In most cases, should the cancer spread and cause swelling or neck pain, all or most of the thyroid gland will be removed.
  • Goitre, generally a non-cancerous condition, happens when the thyroid gland becomes enlarged and is only resected when it causes discomfort or becomes challenging to swallow or breathe.
  • Thyroid nodules are tiny lumps full of fluid that form inside the gland. Most of the time, these nodules are harmless but, in rare circumstances, are removed for fear of being cancerous. Thyroid nodules are often discovered through a routine medical exam or via a scan. Some growths are large enough to be felt, making it difficult to swallow or breathe.
  • Hyperthyroidism is due to an overactive thyroid when there’s excessive thyroxine in the body. When anti-thyroid medication or radioactive iodine therapy isn’t a treatment option, a thyroidectomy is the most suitable alternative.
Symptoms of thyroid disease

Hyperthyroidism symptoms are:

  • Anxiety
  • Becoming irritable or nervous
  • Weight loss
  • Enlarged thyroid (goitre)
  • Weak muscles
  • Sensitivity to heat
  • Eye problems

Hypothyroidism symptoms are:

  • Lethargy
  • Weight gain
  • Intolerance to cold weather
  • Dry hair
Causes of thyroid disease

Thyroiditis is a condition that causes the thyroid gland to swell, which reduces the levels of hormones the gland releases and leads to hypothyroidism. The thyroid uses iodine to release hormones, but an iodine deficiency can affect this process and cause hypothyroidism. Hashimoto’s thyroiditis is an inherited autoimmune disorder that occurs when the body's cells fight against and damage the thyroid gland, which reduces its ability to secrete hormones.

Graves’ disease contributes to hyperthyroidism that occurs when the thyroid gland becomes overactive and produces an excess of hormones.

Additional causes of hyperthyroidism include:

  • Overactive thyroid nodules
  • A surplus of iodine in the body. Iodine can be found in cough syrups and heart medication.
Thyroidectomy
A thyroidectomy is the surgical resection of a portion or all of the thyroid gland to treat thyroid cancer, hyperthyroidism, hypothyroidism and goitre. A thyroidectomy takes place under general anaesthesia and involves making a 3–4-inch incision across the neck, above the thyroid. When thyroid cancer spreads to the lymph nodes, the nodes will also have to be removed. A surgical tube, known as a catheter, remains in place to drain blood and other fluid from the area.
The after-effects of a thyroidectomy
The time it takes to heal from a thyroidectomy depends on the amount of tissue resected. If the thyroid gland has been resected, the doctor will prescribe medication to substitute for the lack of hormones produced. Pills that carry the synthetic thyroid hormone are taken daily. Hormone therapy is essential, particularly if the whole thyroid was removed to prevent hypothyroidism.
 
1. Why would you need a thyroidectomy?

Your surgeon will suggest a thyroidectomy if:

  • You have a nodule present in the thyroid gland
  • A diagnosis of thyroid cancer has been confirmed
  • The nodule/goitre is making it difficult to swallow or breathe
2. What can you expect after a thyroidectomy?
After a total or partial thyroidectomy, you will feel an uncomfortable soreness at the back of your throat. A stiff neck, trouble swallowing and a hoarse or soft voice are also quite common.
3. Do you stay overnight in the hospital after we remove your thyroid?
The chances of bleeding after surgery are minimal, which is why patients usually wait 4 or 6 hours in the recovery room while the nurse and doctor observe them for any side effects.
 
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