Thyroid Surgery

In modern practice, neuromonitoring (a nerve-tracking device) and precise dissection techniques are used. In close cooperation with endocrinology, postoperative hormone replacement and a follow-up plan are arranged.

• Patients with a thyroid nodule with a suspicious/malignant result on fine-needle biopsy
• Large goiter/multinodular thyroid causing compression and difficulty breathing/swallowing
• Graves' disease that is unresponsive to medical treatment or recurrent
• Suspicious nodules developing on a background of Hashimoto's thyroiditis
• Thyroid cancer cases with neck lymph node involvement

1. 1

   Pre-Assessment & Diagnosis

   The diagnosis is confirmed and the stage of the disease clarified through a detailed history, physical examination and the necessary imaging and laboratory tests.

2. 2

   Planning & Preparation

   An anaesthesia consultation, bleeding profile and review of any accompanying conditions are carried out; a multidisciplinary council decision is taken when needed.

3. 3

   Procedure / Operation

   The procedure is performed with the technique most suitable for the patient (laparoscopic, robotic or open); tissue integrity and oncological principles are preserved.

4. 4

   Follow-up & Monitoring

   Early mobilization, pain control and wound monitoring are provided; suture removal and a general assessment check-up are planned after discharge.

Patients are usually discharged the same or the next day; they are monitored for temporary calcium deficiency and hoarseness.