Subtotal thyroid resection. Prices, reviews, ratings
General information
A larger section of the selected treatment site is destroyed. The doctor leaves small parts in the area of the lateral surfaces of the trachea, reverse nerves and parathyroid glands.
The duration of the session is related to the level of complexity of the damage and usually takes several hours. General anesthesia is used for pain relief.
Procedure
Preparation
Preparation can be carried out in 2 options. The first assumes the following conditions: if there is time for preoperative preparation, a person must take thionamides for several months. They are needed to inhibit the production and synthesis of iodine. A week before, he is prescribed iodide to reduce blood flow. And only after this (if the condition is satisfactory) is excision prescribed.
The second involves limited preparatory measures. In this situation, a dose of beta-blockers is prescribed, which reduce the oxygen consumption of the myocardium.
The following are used as accompanying tests:
- computer tomography of the chest;
- determination of the hormonal environment;
- biopsy of the lymph nodes.
They are relevant before surgery.
Subtotal thyroid resection procedure
The doctor makes a transverse incision of the median depth in the form of a curved arc. An incision from 2 to 12 centimeters is made according to the markings, which are drawn in advance. During the work, the specialist monitors the external location of the vessels and crosses them. The lobes of the thyroid gland are removed one by one. If necessary, it is possible to remove nearby lymph nodes and the surrounding tissue.
Rehabilitation period
A cosmetic suture will be required to aesthetically remove the scar. It will be almost invisible in two to three months. There are such methods of concealing visual defects using:
- absorbable materials;
- specialized glue.
In addition, for a speedy recovery, it may be necessary to insert a silicone tube with a compact vacuum pump to eliminate the remaining blood clots. This may cause slight discomfort to the patient, but will reduce the painful sensations.
Indications
The technique is typical for those who:
- acute thyrotoxicosis;
- ineffectiveness of treatment due to prescribed antithyroid drugs or other antithyroid drugs;
- suspicious enlargement of the thyroid gland;
- inability to get rid of the disease by less radical methods.
It is also suitable for children, pregnant women and nursing mothers.
Contraindications
Temporary barriers include:
- complex diseases of the cardiovascular system (heart defects, arrhythmia, bypass);
- liver failure;
- any infections;
- severe purulent diseases.
When prescribing a method, the age of the patient is assessed. The older the person, the higher the risk of arthrotomy.
Complications
Postoperative deteriorations are:
- Early - bleeding from the operated wound, damage to the recurrent nerve, which can worsen vocal abilities.
- Late - decreased function of the gland or its dysfunction, abnormalities in the functioning of the parathyroid glands, relapse of thyrotoxicosis.
Prices and clinics
Subtotal resection of the thyroid gland is performed by an endocrinologist surgeon in a clinic or medical center. You can find out the cost of the service on the portal .
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