Parathyroid Surgery

Parathyroid surgery, or parathyroidectomy, involves removing one or more parathyroid glands to treat hyperparathyroidism.

What is Parathyroid Surgery ?

Parathyroid surgery, also known as parathyroidectomy, is a procedure to remove one or more of the parathyroid glands. These glands, located near the thyroid gland in the neck, produce parathyroid hormone (PTH), which regulates calcium levels in the blood. Surgery is usually necessary when one or more of these glands become overactive, a condition known as hyperparathyroidism.

Why is Parathyroid Surgery Performed?

Parathyroid surgery is indicated for several conditions, including:

Primary hyperparathyroidism, where one or more glands produce too much PTH, leading to high calcium levels
Secondary hyperparathyroidism, often due to chronic kidney disease
Parathyroid cancer (rare)
Symptoms such as kidney stones, osteoporosis, fatigue, and muscle weakness resulting from high calcium levels

How to Prepare for Parathyroid Surgery?

Preparation for parathyroid surgery includes:

A thorough medical evaluation, including blood tests to measure calcium and PTH levels
Imaging studies (ultrasound, sestamibi scan, or CT scan) to locate the overactive gland(s)
Stopping certain medications as advised by your doctor
Fasting for several hours before the surgery

Your doctor will provide specific instructions to prepare for the procedure.

During the Procedure

You will be given general anesthesia to ensure you are asleep and pain-free.
A small incision is made in the neck to access the parathyroid glands.
The surgeon removes the overactive gland(s) or takes a biopsy if cancer is suspected.
The incision is closed with sutures or surgical tape.

The procedure typically takes about 1 to 2 hours.

After the Procedure

After the procedure, you will be monitored in the recovery room until the anesthesia wears off. Most patients can go home the same day or the following day, but recovery time may vary. You should avoid strenuous activities for a few weeks and follow your doctor’s post-operative care instructions. Calcium levels will be monitored, and you may need calcium or vitamin D supplements temporarily.

Risks and Complications

While parathyroid surgery is generally safe, it carries some risks, including:

Bleeding
Infection
Injury to surrounding tissues, including the recurrent laryngeal nerve (which affects the voice)
Low calcium levels (hypocalcemia)

Discuss any concerns with your doctor before the procedure.

Schedule Your Parathyroid Surgery

If you have a condition that requires parathyroid surgery, please contact our office to schedule a consultation. Our experienced surgical team is dedicated to providing comprehensive care and support throughout the process.

Contact us today to take the first step towards a healthier, happier you with Parathyroid Surgery.