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Doctor insights on: Total Thyroidectomy Complications

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Will total thyrodectomy lead to hypothyrodism?

Will total thyrodectomy lead to hypothyrodism?

Yes it will: After total thyroidectomy one becomes Hypothyroid and will need Thyroid Replacement all life ...Read more

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Dr. Brendan Stack Jr.
371 doctors shared insights

Thyroidectomy (Definition)

is the surgical removal ...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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Total thyroidectomy for papillary cancer. Two nodules 0.5cm and 0.7cm. Surgical biopsy stage pt1an0. Possible metastasis? Need rai?

Total thyroidectomy for papillary cancer. Two nodules 0.5cm and 0.7cm. Surgical biopsy stage pt1an0. Possible metastasis? Need rai?

This is a bit: Too complicated and specific to be dealt with over the internet. Various endos have slightly different regimens for dealing with this problem and you are in kind of a gray area. Check w/your endo for specific recommendations. ...Read more

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Radioactive iodine versus partial thyroidectomy, explain please?

Radioactive iodine versus partial thyroidectomy, explain please?

Need more info: Radioactive iodine is often used for graves' disease which is a hyperactive thyroid condition. I am assuming you were given this option or partial thyroid removal to control the problem. The radioactive therapy is usually preferred but sometimes surgery is better depending on many issues. You need to discuss with endocrinologist and surgeon. ...Read more

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Partial hysterectomy what are precautions after surgery?

Partial hysterectomy what are precautions after surgery?

Depends: I depends on how the surgery was done. If you had a large incision on your abdomen then you should not be lifting more than 10-15 pounds for several weeks. If you had it done through the vagina or laparoscopically (small incisions) you don't have to worry about lifting restrictions. I also suggest that nothing go in the vagina for 6 weeks. Talk to your doctor about the specific details. ...Read more

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Thyroid cancer patient, my thy numbers 2 years after total thyroidectomy: tsh= 0.32, tg ab= 23, tg=0.2, pth= 68, vitamin d= 12. Number meanings?

Thyroid cancer patient, my thy numbers 2 years after total thyroidectomy: tsh= 0.32, tg ab= 23, tg=0.2, pth= 68, vitamin d= 12. Number meanings?

See a Specialist: Tg ab and tg are a marker for remaining thyroid tissue (and presumably thyroid cancer), TSH is the hormone that stimulates thyroid tissue to grow and produce thyroid hormone, PTH is the hormone that controls your calcium metabolism. You should discuss your lab interpretations with a specialist, especially given your history of thyroid cancer. ...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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Gastric bypass surgery with thyroid gland removed?

Gastric bypass surgery with thyroid gland removed?

Bypass: That's fine. As long as you are on synthroid (thyroxine) and your thyroid hormone levels are normal, having bypass surgery is safe. ...Read more

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Abdominal swelling after total gastrectomy?

Abdominal swelling after total gastrectomy?

Depends: It depends how long after gastrectomy. If the swelling happens a few days later, it can be due to infection or bleeding. If it's just mild swelling, sometime it is just due to bloated intestines. If the gastrectomy was several weeks or months ago, the considerations include ascites (abdominal fluid), a hernia, versus tumor regrowth. Talk with your surgeon to learn more. ...Read more

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Is it harder to lose weight post total thyroidectomy for papillary thyroid cancer?

Is it harder to lose weight post total thyroidectomy for papillary thyroid cancer?

Wt loss thyroid gone: The thyroid regulates your metabolism and if your thyroid medicine is not just right it can be very hard to loose weight. Have your levels checked on a regular basis and try to cut out the wheat products. A gluten free diet is very beneficial in terms of weight loss and control, as well as over all health. ...Read more

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On levothyroxine following total thyroidectomy. Will a tsh level of 2.5 prevent me from conceiving?

On levothyroxine following total thyroidectomy. Will a tsh level of 2.5 prevent me from conceiving?

No: A TSH level of 2.5 is right in the middle of the normal range and should not be an impediment to conceiving. Practice safe sex. Get HPV vaccine. ...Read more

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Joint infection after total hip replacement surgery commone or negligent?

Joint infection after total hip replacement surgery commone or negligent?

Uncommon: Infection after tha is a known complication that occurs in 0.1-2% of hip replacement procedures. Factors that can affect this incidence include patient conditions such as obesity, diabetes, or immune system diseases, as well as the length of surgery time, wound closure methods, and experience of the surgeon. Some hospitals and surgeons have higher rates of infection. ...Read more

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Atrial fibrilation post triple bypass surgery risks and concerns after one incident ?

Atrial fibrilation post triple bypass surgery risks and concerns after one incident ?

A fib: Risk of emboli going to brain causing stroke. Rapid ventricular response(heart rate to high) may cause angina, dizziness, passing out, heart attacks, other heart irregular rhythms. Let you cardiologist manage case. Is complex to explain here. It is certainly manageable. ...Read more

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Compare postoperative outcomes of a total abdominal hysterectomy, a laproscopic assisted lavh?

Compare postoperative outcomes of a total abdominal hysterectomy, a laproscopic assisted lavh?

LAVH usually better: Depends on what the reason is, what your body type is and why they are doing it and how good your doctor is at doing lavh. But usually there is less pain and an easier recovery time after lavh. But doing it robotically often has less pain that lavh. ...Read more

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Thyroidectomized patient need replacement forever?

Thyroidectomized patient need replacement forever?

Yes: If you have had thyroid gland removed you will need thyroid replacement supplementation as you no longer have a gland that can produce thyroid hormone. Fortunately that is not a difficult thing as it would just be a matter of taking a pill daily for the rest of your life. Think of it as a vitamin supplement to provide what your body needs to function normally. ...Read more

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Side effects after total gastrectomy?

Side effects after total gastrectomy?

Dietary: One would need to eat smaller & more frequent meals & chew foods very well as the new intestinal connection or internal intestinal pouch will not be able to hold as much food as a normal stomach. Sometimes a person is checked with blood tests for anemia or b vitamin deficiency. ...Read more