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 1 week before the procedure.
is used most often. It will block any pain and you will stay asleep through the surgery.
The area will be numb but you will be awake.
Description of the Procedure
An incision will be made in the neck. Muscle and other tissue will be moved to locate all the glands. The abnormal gland or glands will then be cut out and removed. A drain may then be placed in the area. This will allow fluids to drain out of the area while you heal. The incision will be closed with stitches.
If all 4 glands were removed, a part of one gland may be placed in a different area of the neck or in the forearm.
How Long Will It Take?
20 minutes to several hours, depending on how many glands need to be removed
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Average Hospital Stay
You may need to stay in the hospital for 1-2 days. Your doctor may choose to keep you longer if you have any problems.
At the Hospital
After your surgery, the the hospital staff will:
Observe you in the recovery room.
Check on your ability to swallow and speak.
Test your calcium levels.
Show you how to change your dressings and care for your wound.
Remove the drain if one was placed during surgery.
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to reduce your chance of infection, such as:
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
To help your recovery at home:
You may be given calcium supplements.
Follow your doctor's instructions.
Call Your Doctor
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
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
If you think you have an emergency, call for medical help right away.
Farndon JR. Surgical treatment: Evidence-based and problem-oriented. Postoperative complications of parathyroidectomy. Available at: http://www.ncbi.nlm.nih.gov/books/NBK6967. Accessed December 28, 2018.
Parathyroid surgery. The American Association of Endocrine Surgeons website. Available at:http://endocrinediseases.org/parathyroid/surgery_overview.shtml. Accessed December 28, 2018.
Parathyroidectomy. Cedars-Sinai website. Available at: http://cedars-sinai.edu/Patients/Programs-and-Services/Head-and-Neck-Cancer-Center/Treatment/Parathyroidectomy.aspx. Accessed December 28, 2018.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.
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