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Thyroid Disorders & Surgery

Thyroid Surgery :: Parathyroid Surgery :: Adrenal surgery

Surgery to remove the thyroid gland is called Thyroidectomy. Endoscopic Thyroidectomy is a newer, less invasive surgery than the standard “open” Thyroidectomy. The “open” technique involves a large neck incision 6-8 inches or longer, placement of a drain in the incision, and usually a 3-4 day hospital stay.

With the minimally invasive endoscopic approach, the surgery is performed through a smaller incision and most patients are able to go home the same day of surgery.

Benefits of Minimally invasive surgery versus Traditional (Open) Surgery:

  • Smaller incision
  • Minimal soft tissue trauma
  • Less pain
  • Faster healing time
  • Lower infection rate
  • Less scarring
  • Less blood loss
  • Earlier mobilization
  • Usually performed as outpatient day surgery

Endoscopic Thyroidectomy surgery is performed under sterile conditions in a hospital operating room with the patient under general anesthesia. The surgery may be performed by an Otolaryngologist, a head and neck surgeon, or an Endocrine surgeon.

  • You will be placed on your back with your neck hyperextended.
  • Your surgeon makes a small incision at the front of the neck.
  • The muscles and connective tissue are divided in order to access the thyroid gland and retractors are placed to maintain the operative space.
  • Your surgeon inserts the tiny endoscope through the incision.
  • Next, the blood supply to the area that is to be removed is clamped off or a special Harmonic scalpel is used which cauterizes as it cuts.
  • Both lobes of the Thyroid gland are then removed if a complete Thyroidectomy is being performed. If a partial Thyroidectomy is being performed, then only one lobe of the gland is removed.
  • Your surgeon may place a drain to allow fluids to flow out of the area before closing the incision.
  • The muscles and tissues are stitched back together and the incision is closed with sutures and covered with a sterile bandage.