(Parathyroid Gland Removal—Minimally Invasive; Video-assisted Parathyroidectomy; Endoscopic Parathyroidectomy; Radio-guided Parathyroidectomy; Parathyroidectomy, Video-assisted; Parathyroidectomy, Endoscopic; Parathyroidectomy, Radio-guided)
|Parathyroid Glands and Thyroid Glands (Back View)|
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Reasons for Procedure
- Low calcium levels in the blood (more common if all four glands are removed)
- Wound infection
- Reaction to the anesthesia
- Skin tethering—tissues and skin may become attached to the voice box or windpipe
- Blocked airway
- Damage to nerves (which can cause problems like paralyzed vocal cords)
What to Expect
Prior to Procedure
- Do a physical exam and ask you about your medical history
- Order imaging test such as ultrasound or parathyroid scan
- Have blood tests done
- Arrange to have someone drive you home from the hospital after surgery.
- Avoid eating or drinking 6-8 hours before surgery.
Talk to your doctor about your medications, herbs, and dietary supplements. You may be asked to stop taking some medications up to one week before the procedure, like:
- Anti-inflammatory drugs
- Blood thinners
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Observe you in the recovery room
- Check on your ability to swallow and speak
- Show you how to change your dressings and care for your wound
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- You may be given calcium supplements.
- You will be given instruction about caring for your wound. Check your wound daily for signs of infection.
- You may want to eat semi-solid foods like ice cream or oatmeal for the first few days. These types of foods will be easier to swallow.
Call Your Doctor
- Tingling or numbness in the fingertips, toes, hands, or around the mouth
- Twitching or cramping of muscles
- Redness, warmth, drainage, or swelling around the area where surgery was done
- Difficulty swallowing, talking, or breathing
- Signs of infection, including fever and chills
The American Academy of Otolaryngology—Head and Neck Surgery http://www.entnet.org
The American Association of Endocrine Surgeons http://www.endocrinesurgery.org
Canadian Cancer Society http://www.cancer.ca
Canadian Society of Otolaryngology http://www.entcanada.org
Farndon JR. Postoperative complications of parathyroidectomy. In: Holzheimer RG, Mannick JA. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich, Germany: Zuckschwerdt; 2001. National Center for Biotechnology Information website. Available at: http://www.ncbi.nlm.nih.gov/books/NBK6967. Accessed June 18, 2013.
Parathyroid surgery. The American Association of Endocrine Surgeons website. Available at: http://www.endocrinesurgery.org/patient%5Feducation/parathyroid/surgery%5Foverview.shtml. Accessed June 18, 2013.
Parathyroidectomy. Cedars-Sinai website. Available at: http://acromegalysupport.org/Patients/Programs-and-Services/Head-and-Neck-Cancer-Center/Treatment/Parathyroidectomy.aspx. Accessed June 18, 2013.
Parathyroidectomy: minimally invasive (focused). University of California, Los Angeles Endocrine Surgery website. Available at: http://endocrinesurgery.ucla.edu/surgery%5Fmip.html. Accessed June 18, 2013.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Kim Carmichael, MD
- Review Date: 06/2013 -
- Update Date: 00/12/2014 -