An overview of parathyroidectomy
A parathyroidectomy is a surgical procedure to remove one or more overactive parathyroid glands or a tumor affecting a parathyroid gland. Parathyroid glands are located behind the thyroid in the neck, and they produce parathyroid hormone that regulates calcium levels in the blood and body tissues. The surgery aims to restore normal calcium levels and address any related symptoms.
What is parathyroidectomy used for?
A parathyroidectomy is a surgical procedure used to remove one or more of the parathyroid glands or a tumor that's affecting a parathyroid gland. It is typically performed to treat overactive parathyroid glands, a condition called hyperparathyroidism. In many cases, only one of the parathyroid glands needs to be removed to effectively treat hyperparathyroidism. The surgery aims to restore the proper balance of calcium in the bloodstream and body tissues, ensuring proper functioning of nerves and muscles, and maintaining healthy bones.
How to prepare for parathyroidectomy?
Before a parathyroidectomy procedure, there are some patient preparations needed. These may include:
- Imaging tests: One or both of the following imaging tests may be used to locate the overactive parathyroid gland(s): Sestamibi parathyroid scan and ultrasound. Your healthcare provider will give you specific instructions on how to prepare for these tests.
- Blood tests: A blood test to measure parathyroid hormone may be done during surgery to help confirm that all overactive glands have been removed.
- Fasting: You may need to avoid eating and drinking for a certain period of time before surgery. Your healthcare provider will provide you with specific instructions on this.
- Transportation: Make arrangements for a friend or family member to help you get home after the procedure.
Remember to follow your healthcare provider's instructions carefully and ask any questions you may have to ensure a smooth and successful surgical experience.
How is parathyroidectomy conducted?
Parathyroidectomy surgery is conducted to remove one or more overactive parathyroid glands. The procedure can be done using minimally invasive surgery, 4D CT imaging, or PET-Choline CT.
Before the surgery, imaging tests such as sestamibi parathyroid scan, ultrasound, and blood tests to measure parathyroid hormone are performed to locate the overactive glands and prepare for the surgery. During the surgery, general anesthesia is typically used, allowing the surgeon to use nerve monitoring to identify the nerves that go to the voice box. In some cases of minimally invasive surgery, local anesthesia may be used, and the patient may be awake during the procedure but shouldn't feel pain. After the surgery, the patient may experience some pain, swelling, and bruising at the incision site. Recovery time varies depending on the surgical approach and the patient's overall health. Please note that the information above does not specify the exact test conducted during the surgery. For further details, consult with a medical professional.
How are parathyroidectomy results reported?
Parathyroidectomy results are typically reported based on the success of the surgery in removing the overactive parathyroid gland or glands, as well as the patient's post-operative condition. The post-operative condition may include factors such as blood calcium levels and any complications that arose during or after the surgery. The surgeon will usually discuss the results with the patient and provide any necessary follow-up care or recommendations based on the outcome of the procedure.