Parathyroidectomy

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Procedure Description

Parathyroidectomy is a surgical procedure to remove one or more of the parathyroid glands, typically due to conditions like hyperparathyroidism, where these glands produce excessive parathyroid hormone (PTH). The parathyroid glands, four small glands located near the thyroid, play a crucial role in calcium regulation. When overactive, they can lead to dangerously high levels of calcium in the blood, causing symptoms like fatigue, bone pain, kidney stones, and in severe cases, neurological issues. A parathyroidectomy is therefore often recommended to restore calcium balance and alleviate symptoms.

The procedure usually involves a small incision near the neck through which the surgeon carefully accesses the affected parathyroid gland(s). Depending on the case, a targeted approach may be taken if imaging scans identify a specific overactive gland, or a more exploratory approach might be required to locate the problematic gland(s). Modern advancements in surgical techniques, including minimally invasive parathyroidectomy, have made the procedure less invasive and more precise, allowing for reduced recovery times and improved outcomes.

Parathyroidectomy is often considered after non-surgical treatments, such as medication or monitoring, have been deemed ineffective or if symptoms continue to progress. For patients diagnosed with primary hyperparathyroidism or related conditions, a successful parathyroidectomy offers a high rate of symptom relief and a return to normal calcium levels. The procedure’s effectiveness, combined with advanced techniques, makes it a valuable option for individuals seeking resolution for parathyroid-related health issues.

Procedure Duration

The duration of a parathyroidectomy can vary depending on factors such as the number of glands being removed, the type of procedure, and any underlying health conditions. Typically, a standard parathyroidectomy takes between one to three hours. A minimally invasive parathyroidectomy, often preferred in cases where imaging scans identify the exact location of the problematic gland, may take less time and often results in a smaller incision and quicker recovery.

The procedure generally follows three main phases: preparation, surgery, and post-operative care. The preparation phase includes pre-surgical imaging and laboratory tests to confirm the location and functionality of the parathyroid glands. During surgery, the surgeon removes the overactive gland(s), carefully monitoring PTH levels in real-time to ensure that the remaining glands are functioning normally. Post-operatively, patients are closely monitored for calcium levels, as removing the glands can lead to a sudden drop in calcium, known as hypocalcemia, which requires management with supplements.

Recovery from a parathyroidectomy is relatively quick. Many patients can return home the same day or within 24 hours after surgery, although it may take several weeks for the body to fully adjust. During recovery, patients may experience some discomfort or soreness at the incision site and are advised to follow specific dietary recommendations and limit physical activities initially. Patients can usually resume normal activities within a week or two, and regular follow-up appointments are essential to monitor calcium levels.

Benefits

  • Improved Calcium Regulation: Parathyroidectomy directly addresses issues related to excessive calcium production, bringing calcium levels back to normal.
  • Symptom Relief: Patients often experience relief from symptoms such as bone pain, kidney stones, fatigue, and cognitive fog.
  • Minimally Invasive Options: Advances in minimally invasive techniques allow for smaller incisions, shorter recovery periods, and reduced scarring.
  • Lower Risk of Complications: Properly targeted parathyroidectomy has a high success rate, often eliminating the need for further intervention.
  • Enhanced Quality of Life: By managing calcium-related symptoms, the procedure can lead to an improved overall quality of life for patients.

Potential Destinations

  • Thailand: Known for its advanced medical facilities, Thailand is a popular destination for parathyroidectomy due to its blend of high-quality care and affordable prices. Many Thai hospitals have specialized endocrinology departments and offer minimally invasive surgical options, making it an appealing choice for medical tourists.
  • Turkey: With a strong focus on medical tourism, Turkey boasts numerous accredited hospitals with state-of-the-art technology. Turkey is recognized for its skilled surgeons and affordable procedures, especially for patients seeking both quality care and competitive pricing.
  • Mexico: Mexico offers convenient access to North American patients and has a range of hospitals experienced in endocrine surgeries. Known for its proximity, quality standards, and affordable care, Mexico is ideal for patients looking for a reliable and efficient parathyroidectomy procedure close to home.
  • South Korea: South Korea is celebrated for its advanced medical technology and highly trained surgeons. Known for its specialization in minimally invasive techniques, South Korean hospitals attract patients seeking advanced options for parathyroidectomy, alongside comprehensive aftercare.
  • India: Renowned for its affordability, India is home to many high-quality hospitals equipped with the latest technology. Indian hospitals often offer customized care packages, making it a cost-effective choice for patients seeking an accessible solution for parathyroid-related issues.

Risks & Considerations

  • Hypocalcemia: Removal of the parathyroid glands can lead to low calcium levels, requiring calcium and vitamin D supplements to manage symptoms.
  • Voice Changes: As the procedure involves operating near the vocal cords, there is a risk of vocal changes or hoarseness, especially if nerve damage occurs.
  • Infection: Although rare, any surgical procedure carries a risk of infection at the incision site, which requires prompt medical attention if symptoms appear.
  • Bleeding: Some patients may experience bleeding during or after surgery, especially if they have underlying blood clotting conditions.
  • Need for Reoperation: In rare cases, additional surgery may be necessary if all overactive parathyroid tissue is not removed in the initial procedure.

How to Choose the Right Doctor and Hospital

When selecting a provider for parathyroidectomy, prioritize facilities with a strong track record in endocrine surgery. Look for hospitals that specialize in minimally invasive techniques, as these can often lead to faster recovery times and fewer complications. Accredited hospitals with modern diagnostic equipment and comprehensive post-operative care programs are ideal for this type of surgery, as they are equipped to provide the necessary follow-up and monitoring.

In choosing a surgeon, seek out professionals with extensive experience in parathyroid and endocrine surgeries. A qualified surgeon with a specialized background in endocrine procedures will be well-versed in the complexities of parathyroidectomy, reducing the likelihood of complications. Patient reviews, success rates, and the surgeon’s familiarity with the latest techniques are all valuable factors to consider when making your choice.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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