Preparation
About a week before surgery, you are asked to stop taking aspirin or other blood thinning medication. To reduce the risk of vomiting during surgery, you will not eat or drink anything after midnight the night before surgery. As part of the general preparations for surgery, your doctor will review your allergies and medical and surgical history. If you could be pregnant, tell your doctor before surgery. Since the procedure involves an area will undergo shoulder top, you will be asked to remove necklaces and earrings before being taken to the operating room.
How it is done
In general, both types of thyroidectomy is performed under general anesthesia. However, if general anesthesia is too risky for a patient, could be used local or regional anesthesia to allow the patient to remain awake during the procedure. We introduce an intravenous (IV) in a vein to give fluids and medications.
Conventional thyroidectomy: a conventional thyroidectomy, an incision is made 3 to 4 inches into the skin at the bottom of your neck (bottom front of the neck above the collarbone and sternum). Next, make a vertical cut through the ribbon-like muscle located just below the skin, and these muscles will open to reveal the thyroid gland and other deeper structures. Then they cut and separate the thyroid gland and nearby tissues the extract. Throughout the procedure, the surgeon will take great care to preserve your parathyroid glands (two pairs of small glands located near the thyroid) and prevent damage to important nerves and blood vessels in his neck.
After removal of the thyroid gland will be one or two points to raise your muscles again. Then, the deepest layer of your incision is closed with stitches and the skin was closed with sterile tape. This will insert a small suction catheter (tube) near the area of ??your incision to drain accumulated blood inside your neck. After surgery, you will be taken to the recovery room, where they will be monitored for several hours until they are stable enough to return to his room at the hospital. After about 24 hours, you withdraw the suction catheter from his neck. Most patients go home one or two days after surgery.
Endoscopic thyroidectomy: an observational instrument called an endoscope and small surgical instruments are inserted into the neck through three or four small incisions. Each incision is about 3 to 5 millimeters long (less than ΒΌ inch). Then the surgeon uses a tiny camera on the endoscope to guide the instruments and remove her thyroid tissue. At the end of the procedure, the cuts in the neck is closed with stitches or surgical tape small.