Paratireoidektomija – minimally invasive surgery – Removal of the parathyroid glands

Description parathyroidectomy

Паратиреоидэктомия – операция по удалению анормальных паращитовидных желез. In humans, the four parathyroid glands, located in the neck. The glands produce parathyroid hormone, which controls the level of calcium in the blood.

Reasons for parathyroidectomy

The surgery is performed to remove one or more abnormal parathyroid glands. Gland may be abnormal due to cancer or other causes.

Minimally invasive surgery is usually performed, must be removed if only one iron. If you plan to remove more than one gland, or if the doctor needs to do additional surgery in the neck, It can be used the traditional approach, which involves the creation of a large incision in the operation.

Possible complications parathyroidectomy

Complications are rare, but no procedure does not guarantee the absence of risk. If you plan to parathyroidectomy, you need to know about possible complications, which may include:

• Bleeding;
• Hripota;
• The low levels of calcium in the blood;
• Wound infection;
• Reaction to anesthesia;
• Healed tissue and the skin can obstruct breathing and speech;
• Scarring;
• Blocking the airway;
• Nerve Damage (which can cause problems such, paralysis of the vocal cords);

Factors, that may increase the risk of complications include:

• Smoking;
• Problems of the heart and lungs.

How is parathyroidectomy?

Preparation for the procedure

Your doctor may prescribe or perform the following::

• The medical examination and the study of medical history;
• Order Taking pictures and testing of internal organs (eg, ultrasound);
• Blood test.

You should:

• To organize the return home from the hospital after surgery;
• Do not eat or drink 6-8 hours before surgery;
• Consult your doctor about the drugs taken. A week before surgery you may be asked to stop taking some medicines:
  • Aspirin and other nonsteroidal anti-inflammatory drugs (eg, Ibuprofen, naproxen);
  • Blood-thinning drugs, such as warfarin;
  • Antiplatelet drugs, such as clopidogrel.

Anesthesia

Используется общая анестезия, which blocks any pain and the patient support in a sleep state during operation. Administered intravenously in the arm or hand.

In some cases, it may also be used by local anesthesia.

Description of the procedure

There are different types of minimally invasive operations, which may be used, eg:

Endoscopic parathyroidectomy

The doctor will make 3 cm incision in the neck. He then inserts an endoscope with a tiny camera on the end, that will send images to a monitor. A doctor on the basis of the image is abnormal gland.

Minimally invasive parathyroidectomy RC

The doctor will put into your body is a radioactive substance. The abnormal gland will absorb this substance. The doctor makes a 2 cm incision in the neck, which inserts a small probe. The sensor detects radiation, emitted by a radioactive substance. This will help the doctor find the abnormal gland.

Following the discovery of the iron is removed, the doctor closes the incision sutures.

How long will parathyroidectomy?

From 30 minutes before 1-2 hours (depending on the type of operation).

Паратиреоидэктомия – будет ли это больно?

Anesthesia prevents pain during surgery. After operation, you can feel, как будто у вас простуда или ангина. The doctor will give pain medicine.

The average hospital stay

This procedure is usually done in a hospital, the usual length of stay is one day. Sometimes it is possible to leave the hospital on the day of the procedure. If you have any problems, Extended Stay doctor at the hospital.

Care after parathyroidectomy

Care in a hospital

Hospital staff:

• Point you in the recovery room;
• It tests your ability to swallow and speak;
• Educate, how to change the dressing and take care of the operational seam.

Home Care

When you return home, Follow these steps:, to ensure the normal recovery:

• If prescribed by a doctor, Take calcium supplements;
• Check the seal on a daily basis for signs of infection;
• During the first few days after surgery to eat semi-solid foods, such as ice cream or oatmeal. These types of foods will be easier to swallow;
• Be sure to follow your doctor's instructions.

Contact your doctor after parathyroidectomy

After returning home, you need to see a doctor, If the following symptoms:

• Tingling or numbness in the hands, fingers, brush or around the mouth;
• Cramps and muscle cramps;
• Redness, heat, allocation, or swelling in the area of ​​operation;
• Difficulty swallowing, speech or breathing;
• Signs of infection, including fever and chills.

In an emergency, immediately seek medical advice.