Deleting parathyroidectomy parathyroid glands – Open surgery
Public parathyroidectomy
Paratireoidektomija – surgery to remove abnormal parathyroid glands. In humans, the four parathyroid glands, located in the neck. The glands produce Parathyroid hormone, which regulates 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.
Possible complications of open 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 open parathyroidectomy?
Preparing to open parathyroidectomy
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
Used general anesthesia, 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.
Public parathyroidectomy
The surgeon performs an incision in the neck, length 5-6 cm. He will need, to push the muscles of the neck and get to the thyroid gland, to find the location of all of the parathyroid glands. After finding the location of the abnormal gland, it is cut and removed. In the place of the operation can be placed drainage tube. The incision is sutured.
How long it will open parathyroidectomy?
From 20 minutes to several hours, (whichever, as iron must be removed).
Paratireoidektomija – Will it hurt?
Anesthesia prevents pain during surgery. After surgery in the throat may be feeling colds or sore throat. The doctor will give pain medicine.
The average hospital stay after open parathyroidectomy
This procedure is usually done in a hospital. Usually stay is 1-2 day. Sometimes it is possible to leave the hospital on the day of the procedure. The doctor can extend the period of stay in hospital, If there are complications.
Care after open parathyroidectomy
Care in a hospital
Hospital staff:
- Point you in the recovery room;
- It tests your ability to swallow and speak;
- Learned to care for the wound dressing and operating;
- Educate, how to change the dressing and take care of the operational seam.
Home Care
After returning 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.
Communication with a physician after an open paratireoidèktomii
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 the case of a life-threatening condition immediately seek medical advice.
