Parathyroid Surgery

What are the parathyroid glands?

The parathyroid glands are four small glands located in your neck, near or attached to the thyroid gland. These tiny glands, each about the size of a grain of rice, play a crucial role in regulating calcium levels in your blood and bones.

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What is a parathyroidectomy?

Parathyroid surgery, also known as parathyroidectomy, is a procedure to remove one or more of the parathyroid glands. This surgery is typically performed to treat conditions that cause the parathyroid glands to produce too much parathyroid hormone (PTH), leading to high calcium levels in the blood. Dr Muzib Abdul-Razak is an experienced Head and Neck Surgeon and Surgical Oncologist at Hills Surgical Oncology, and specialises in performing parathyroidectomies.

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Why is parathyroid surgery necessary?

The most common reason for parathyroid surgery is a condition called primary hyperparathyroidism. This occurs when one or more of the parathyroid glands become overactive and produce too much PTH. Other reasons may include:

1. Parathyroid tumours (usually benign) such as an Adenoma
2. Enlargement of the parathyroid glands
3. Secondary hyperparathyroidism (often due to kidney disease)

If left untreated, these conditions can lead to various health problems, including:

• Kidney stones
• Osteoporosis (weak bones)
• Excessive urination
• Abdominal pain
• Fatigue and weakness
• Memory problems

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How is parathyroidectomy performed?

A parathyroidectomy is typically performed under general anaesthesia. The specific technique used may vary depending on the patient's condition and the surgeon's expertise. Here's a general overview of the procedure:

1. Anaesthesia: The anaesthetist administers medication to put you to sleep.
2. Incision: Dr Muzib Abdul-Razak makes a small incision in the neck, usually about 2-4 centimetres long.
3. Locating the affected gland(s): Using specialised techniques, the surgeon locates the overactive parathyroid gland(s).
4. Removal of the gland(s): The affected gland(s) are carefully removed.
5. Checking other glands: The surgeon may examine the other parathyroid glands to ensure they're healthy.
6. Closing the incision: The incision is closed with stitches or surgical glue.

The entire procedure usually takes about 1 to 2 hours, depending on how many glands need to be removed. Dr Muzib Abdul-Razak at Hills Surgical Oncology uses minimally invasive techniques when possible, which can result in smaller incisions and faster recovery times.

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What should I expect before a parathyroid surgery?

Before your surgery at Hills Surgical Oncology, you can expect the following:

1. Consultation: Dr Muzib Abdul-Razak will discuss your condition, explain the procedure, and answer any questions you may have.
2. Tests: You may need blood tests, imaging studies (like ultrasound or sestamibi scan), and possibly a laryngoscopy to check your vocal cord function.
3. Medication review: Inform your doctor about all medications and supplements you're taking. You may need to stop certain medications before surgery.
4. Fasting instructions: You'll be advised not to eat or drink for several hours before the surgery.
5. Arrange for help: Plan for someone to drive you home after the procedure and help you for the first day or two of recovery.

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What happens after the parathyroid surgery?

After your parathyroid surgery at Hills Surgical Oncology:

1. Recovery room: You'll spend some time in a recovery room where nurses will monitor your vital signs.
2. Hospital stay: Most patients can go home the same day, but some may need to stay overnight for observation.
3. Pain management: You may experience some discomfort, which can be managed with pain medication.
4. Calcium monitoring: Your blood calcium levels will be checked regularly after surgery.
5. Voice changes: Some patients may experience temporary hoarseness, which usually improves within a few weeks.
6. Follow-up appointment: Dr Abdul-Razak will schedule a follow-up visit to check your recovery and remove any stitches if necessary.

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What is the recovery process like after parathyroid surgery?

Recovery from parathyroid surgery is generally quick, but it can vary from person to person. Here's what you can expect:

• Rest: Take it easy for the first few days after surgery.
• Incision care: Keep the incision clean and dry. Dr Muzib Abdul-Razak will provide specific instructions on wound care.
• Medication: You may need to take calcium supplements temporarily after surgery.
• Diet: You can usually return to your normal diet soon after surgery.
• Activity: Avoid strenuous activities for about a week after surgery.
• Return to work: Most people can return to work within 1 to 2 weeks after surgery.
• Follow-up: You'll have follow-up appointments with Dr Muzib Abdul-Razak to monitor your recovery and check your calcium levels.

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Are there any risks or complications associated with parathyroid surgery?

Like all surgical procedures, parathyroid surgery carries some risks. However, when performed by an experienced surgeon like Dr Muzib Abdul-Razak at Hills Surgical Oncology, complications are rare. Potential risks include:

• Bleeding or infection at the surgical site
• Damage to the recurrent laryngeal nerve, which can cause voice changes
• Low calcium levels (hypocalcemia), which may require calcium supplements
• Persistent hyperparathyroidism if all overactive gland tissue is not removed

Dr Muzib Abdul-Razak takes every precaution to minimise these risks and will discuss them with you in detail before the procedure.

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How do I know if I need parathyroid surgery?

Determining whether you need parathyroid surgery involves several factors:

• Blood tests: High calcium and PTH levels in your blood are key indicators.
• Symptoms: Experiencing symptoms like fatigue, bone pain, kidney stones, or memory issues.
• Imaging studies: Scans may show enlarged parathyroid glands or tumours.
• Overall health: Your doctor will consider your general health and any other medical conditions.

If you're experiencing symptoms or have concerns about your parathyroid health, it's important to consult with your GP or Medical Specialist first.

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Why choose Hills Surgical Oncology for your parathyroid surgery?

When it comes to parathyroid surgery, choosing the right surgeon is crucial. Here's why Hills Surgical Oncology, led by Dr Muzib Abdul-Razak, is an excellent choice:

1. Expertise: As a specialist head and neck surgeon and surgical oncologist in Sydney, Dr Muzib Abdul-Razak has extensive experience in parathyroid surgeries.
2. Advanced techniques: We use the latest surgical techniques, including minimally invasive approaches when possible.
3. Comprehensive care: From initial consultation to post-operative care, we provide support at every step of your journey.
4. Convenient locations: With clinics in Wahroonga and the Hills area, we're easily accessible to patients across Sydney.
5. Patient-centred approach: We understand that every patient is unique, and we tailor our care to meet your individual needs.

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Take home message

Parathyoid surgery is a common and generally safe procedure that can be highly effective treatments for conditions affecting the parathyroid glands. Head and Neck Surgeons and Surgical Oncologists like Dr Muzib Abdul-Razak can perform this procedure if it's medically required.

So if you're in the north-west Sydney region and are considering a parathyroidectomy or parathyoid surgery, make an appointment to see Dr Muzib Abdul-Razak at Hills Surgical Oncology today. We have consulting rooms conveniently located in Norwest and Wahroonga to answer any questions you have and guide you through your surgical options for your parathyroid condition.