What is the procedure of thyroidectomy?

What is the procedure of thyroidectomy?

Thyroidectomy is surgical removal of all or part of the thyroid gland, which is located in the front of the neck. The thyroid gland releases thyroid hormone, which controls many critical functions of the body.

What is subtotal thyroidectomy?

Background: Subtotal thyroidectomy is a surgical procedure, in which the surgeon leaves a small thyroid remnant in situ to preserve thyroid function, thereby preventing lifelong thyroid hormone supplementation therapy.

How do I prepare for a total thyroidectomy?

As a general rule, do not eat or drink anything after midnight the night before, and arrive at least two hours before your scheduled surgery. Most often you can take your routine medications with a sip of water. Medication guidelines prior to surgery will be discussed at your pre-operative visit.

What is the difference between a total and subtotal thyroidectomy?

[4] Two different surgical techniques are used for the treatment of Graves’ hyperthyroidism: a total thyroidectomy (TT) in which the entire gland is removed and a subtotal thyroidectomy (STT) , in which most of the gland is removed leaving a small unilateral or bilateral remnant in situ about 4-5 grams.

What suture is used for thyroidectomy?

The surgeon uses a medium-size Jackson-Pratt drain, which he or she secures to the upper chest with a 3-0 silk suture.

Why is iodine given before a thyroidectomy?

Most surgeons administer iodine (as Lugol solution or saturated solution of potassium iodide to provide ≥30 mg of iodine/d) for 10 days before surgery to decrease thyroid gland vascularity, the rate of blood flow, and intraoperative blood loss during thyroidectomy.

What should TSH level be after total thyroidectomy?

Current ATA guidelines recommend maintaining TSH levels below 0.1 mU/L in patients with persistent disease indefinitely in the absence of specific contraindications.

What type of anesthesia is used for thyroidectomy?

Answer. Thyroidectomy under regional or local anesthetic may be performed safely if necessary; most cases, however, are performed under general anesthesia with endotracheal intubation.

Which drug is used as preoperative preparation of thyroidectomy?

Propranolol in high doses (above 160 mg/day) also inhibits 5′-monodeiodinase and thereby decreases serum triiodothyronine (T3) concentrations. Supersaturated iodine (SSI) preparations are widely recommended before thyroidectomy in an attempt to reduce vascularity of the gland.

When do you start thyroxine after thyroidectomy?

After surgery, the initial levothyroxine dose is often prescribed based on the patient’s body weight (1.6 mcg/kg body weight). The dose is then be adjusted 6 to 8 weeks later, based on the blood test result.

What should I monitor after thyroidectomy?

It is important to monitor both calcium and magnesium levels after total thyroidectomy and to correct deficiencies to facilitate prompt resolution of symptoms.

Which structure is ligated first during thyroidectomy?

The superior pole vessels are ligated and the lobe is mobilized laterally. The RLN then can be identified at its entry to the larynx, between the cricoid cartilage and the inferior cornu of the thyroid cartilage.

What’s the most important and immediate complication after thyroidectomy?

1. Major complications after thyroidectomy, such as bilateral recurrent laryngeal nerve injury with vocal cord adduction or compressive hematoma of the neck require urgent medicosurgical management.

Do you have a catheter during thyroid surgery?

If you’re having an endoscopic or robotic thyroidectomy, the surgeon will use small instruments and a video camera to perform the procedure through tiny incisions. A catheter may be placed in the area to help drain blood and fluids.