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Doctor insights on: Suture For Thyroidectomy

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Should i consider radioactive iodine therapy for regrowth of tissue after -partial, then total thyroidectomy?

Should i consider radioactive iodine therapy for regrowth of tissue after -partial, then total thyroidectomy?

It depends : That would depend on the original diagnosis and reason for thyroidectomy. If it was for benign modular disease or goiter then it shouldn't be necessary. If it was treatment of cancer then it is probably advisable but there are other factors that would need to be explored with your doctor. ...Read more

Dr. Brendan Stack Jr.
370 doctors shared insights

Thyroidectomy (Definition)

is the surgical removal ...Read more


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Is radioactive iodine a fairly safe treatment after total thyroidectomy for thyroid cancer? I'm 42 years old.

Is radioactive iodine a fairly safe treatment after total thyroidectomy for thyroid cancer? I'm 42 years old.

Radioactive iodine: It is safe and effective. It has been used millions of times and the side effects are low. It is being used more judiciously recently based on 2015 ATA guidelines. Low risk cancers don't usually need RAI. Intermediate risk can benefit from a low dose to ablate the thyroid remnant. High risk benefit from conventional RAI 70-100+ mCi. ...Read more

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Fibrin glue in thyroid and parathyroid surgery: is under-flap suction still necessary?

Fibrin glue in thyroid and parathyroid surgery: is under-flap suction still necessary?

Separate problem: The glue is used to help seal the surgical sites. The suction drain is to collect any post surgical fluids and prevent accumulation. The drains usually are removed in a few days. Okay to ask your surgeon. ...Read more

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Dermoid cyst removal in 2 weeks-what to expect for recovery?

Dermoid cyst removal in 2 weeks-what to expect for recovery?

Quick healing: A dermoid cyst is a saclike growth that is present at birth. It contains structures such as hair, fluid, teeth or skin glands that can be found on or in the skin. They grow slowly and are not tender unless ruptured. Surgical removal is performed when a cyst becomes painful or inflammed.or begins enlarging. If ovarian in origin, laparoscopic resection is employed and recovery is fast. ...Read more

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What next after total thyroidectomy for differentiated papillary thyroid cancer?

What next after total thyroidectomy for differentiated papillary thyroid cancer?

No short answer: Ptc treatment depends on age, gender, uni or multifocal, affected nodes, and other factors. If only one site, no nodes, <2cm, between 18-45 yrs old, female then surgery alone with ultrasound and blood testing followup sufficient. Multifocal, male, >2cm, <18, >45, extension outside thyroid, positive nodes, tall cell variant then postop radioactive iodine. Consult with endocrine who manages ptc. ...Read more

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To ablate remnant tissue after complete thyroidectomy(initially had multiple noduls, 1-ca node), what maximum dose of radioactive iodine be taken?

To ablate remnant tissue after complete thyroidectomy(initially had multiple noduls, 1-ca node), what maximum dose of radioactive iodine be taken?

Depends: The dose is related to the risk of recurrent disease. The larger the primary tumor, the higher the risk. In your age group (under 45 yo) the risk is relatively low, even with having a positive lymph node. The recommended dose would be as low as 30 mci or as high as 100. ...Read more

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Two wisdom tooth removed at a time.Lymphnodes below ear remain swollen for three months after antibiotic treatment.Is it required to remove lymphnode?

Two wisdom tooth removed at a time.Lymphnodes below ear remain swollen for three months after antibiotic treatment.Is it required to remove lymphnode?

Lymph Nodes: Many people have chronically swollen lymph nodes or at least palpable ones. It may or may not be related to the wisdom teeth that you had removed. Regardless, you should be evaluated by an oral surgeon and possibly be referred to your physician to determine whether or not further investigation or treatment would be appropriate. ...Read more

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How many days swallowing remain difficult after Sistrunk procedure and complete removal of hyoid bone?

How many days swallowing remain difficult after Sistrunk procedure and complete removal  of hyoid bone?

Depends: Most patients recover after 1-2 weeks. However every patient is unique and every operation is unique. I would contact the Surgery team who performed the operation and discuss how you are feeling. Make sure you go for scheduled followup visits so the Surgeon can make sure there are no complications and that the wound is healing. Good luck! ...Read more

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I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?

I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer.  What;s the recovery time?

Quick : Robotic surgery allows rapid recovery. You will need to confirm the plan with your surgeon. Most likely you will stay overnight in the hospital. People usually take 2-6 weeks before returning to work ...Read more

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Is dental implant removal after two years painful with bone graft? Should I opt for anesthesia?

Is dental implant removal after two years painful with bone graft? Should I opt for anesthesia?

HAH?: You kind of mixed a few things together here. Why are you having the implant removed? Are you saying that you will have a bone graft after removal? Unless you enjoy pain I would get an anesthetic. ...Read more

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Alternatives to surgery for solid thyroid nodule?

Depends: It would depend on the nature of the nodule. You may opt for a fine needle aspiration for initial diagnostic work up. If it is benign there may be no need for surgery. Do discuss the matter with your doctor. ...Read more

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How long is the recovery for a subtotal thyroidectomy? Will I need replacement medication?

1 week or so: Most of my patients are back to work in ~1 week, using narcotic pain meds for only 3-4 days on average. Full activity can be resumed in 2 weeks. Roughly 15% of people will require thyroid supplementation after partial thyroidectomy. Although there is plenty of debate, i recommend thyroid lobectomy over subtotal thyroidectomy for reasons i don't have room to discuss. Good luck! ...Read more

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After a total tyroidectomy, could the thyroid gland regrow?

After a total tyroidectomy, could the thyroid gland regrow?

Very unlikely.: After a total thyroidectomy the patient needs to take thyroid hormone. This would reduce the likelihood of regrowth even if a small amount of thyroid was left in the neck. ...Read more