Doctor insights on:
Adhesions Post Thyroidectomy
Why thyroidectomy?: Hi. Was it thyroid cancer? Most likely reason for total thyroidectomy. Best diet: healthy one! Whole grains, nuts, legumes, fruits & veggies, healthy oils (canola & olive), lean meats, nonfat dairy; little or no white flour, white rice, simple sugar, high fructose corn syrup. Best of luck with your thyroid cancer!
Adhesions are scar tissue which can form after any abdominal surgery. The severity depends on whether infection/inflammation was present at the time of surgery. Adhesions are like bands or spider webs that form around the abdominal organs/intestines. Sometimes adhesions are light and cause no problems, sometimes tremendous problems, like crazy glue in the abdomen. Can ...Read more
Normally a few days: For routine thyroid surgery, such as for graves disease or a benign nodule, surgery can be done on an outpatient basis and recovery is fairly fast. Hormone replacement begins immediately. For cancer surgery, the procedure may be more extensive and recovery may be longer. If there are complications, such as low blood calcium, or a hoarse voice, then other outpatient treatments will be needed.
What for?: There are many reasons to have a thyroidectomy: cancer, suspicious nodules, goiter or nodule with compressive symptoms, uncontrolled hyperthyroidism, genetic syndromes with high likelihood of cancer. You should be seen by a surgeon who does a lot of thyroid procedures and have a full discussion about your reasons. If you are having trouble deciding get a second opinion.
Common: In this day & age where people are getting imaging studies more frequently, "incidental" thyroid nodules are found more easily, leading to more biopsy and more surgery. Approx 50, 000 new thyroid cancer cases are expected in 2011 resulting in approx 2000 deaths. The decision to proceed with surgery depends on discussion between you and your treating physicians (surgeon, pcp & endocrinologist).See 1 more doctor answer
Thyroidectomy: Is the surgical removal of the thyroid glandSee 2 more doctor answers
Yes: I have patients that have had half of the gland removed. The other half can then continue to grow and need to be removed. This is rare and may take many years to develop. Most have no problem. It would be even rarer if the remnant were very small.See 1 more doctor answer
Straightforward: Should be pretty straightforward. Expect a benefit.
Absorbable sutures: They can be used in thyroidectomies, both hemis and totals. I have done it that way since 1999.See 1 more doctor answer
2-3 weeks: Hematomas are collections of blood. They initially coagulate then liquefy after 1-2 weeks. After they liquefy your body will resorb them or you can have them drained.
You're: Taking prescription thyroid medication, if you're talking dietary supplements it's the same they're not regulated and hard to tell what's really in them and any toxins
Either one works: If you have hyperthyroidism from Graves disease, either treatment works well. There are potential complications from surgery, although less if you have an experienced surgeon who specializes in thyroid surgery. RAI works with one treatment most of the time for Graves. Talk to your Endocrinologist and go with his/her advice.See 1 more doctor answer
Swelling, tender, re: If the area is swollen and tender or getting red, you need to see your doctor immediately!
Depends on amount: Most will return to normal within 2w, some never do and a supplement may be necessary. If your pre surgery TSH was <2, and 4wafter surgery it is >4, I would recommend supplement.
2-3 weeks: These stitches usually dissolve over 2-3 weeks following surgery.
Panic: Several possibilities, depending on whether you had history of anxiety, how prepared were you for the surgery, expectations, support system, etc. Possibilities postoperatively are; hormonal changes secondary to changes in thyroid status, fears & worries after the surgery, effect of medications prescribed or changed postoperatively, rebound from medication changes. Discuss with your surgeon.See 1 more doctor answer
Hypothyroidism: Patients who had total thyroidectomy might develop hypothyroidism. Symptoms are usually associated with slower metabolism which include slow heart rate, fatigue, weakness, constipation, anemia/low blood counts. Patients are kept on a daily thyroid medication to prevent this. Hope this helps.
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