Parathyroid surgery might sound intimidating, but understanding the process can help ease some of those jitters. Whether you’re scheduled for the procedure or just curious, this guide will walk you through what to expect before, during, and after parathyroid surgery. Let’s break it down in a way that’s easy to digest and maybe even a little fun.
Before the Surgery
Preparing Mentally and Physically
Knowing what to expect can make a huge difference. Before the big day, your surgeon will discuss the reasons for the surgery, the risks involved, and the expected outcomes. This is the time to ask all your burning questions. Don’t be shy—your healthcare team is there to help.
Medical Tests – Expect a series of tests to ensure you’re in good shape for surgery. These might include blood tests, an electrocardiogram (ECG), and imaging studies like an ultrasound or a sestamibi scan to locate the overactive parathyroid gland(s).
Medications – Your doctor might ask you to stop taking certain medications before surgery, especially those that can increase bleeding risks, like blood thinners or aspirin. Always follow your doctor’s instructions closely.
Fasting – Typically, you’ll need to fast from midnight before the surgery day. This means no eating or drinking, which helps reduce the risk of complications during anesthesia.
The Day Before
Get plenty of rest and follow any specific instructions given by your surgeon. Some surgeons recommend a special antiseptic wash to reduce infection risks. Also, make sure your post-surgery recovery space is ready at home—think comfy pillows, entertainment, and easy access to essentials.
During the Surgery
Arrival and Pre-Op
On the day of your surgery, you’ll check in at the hospital or surgical center. Wear comfortable clothing and leave valuables at home. After check-in, you’ll change into a hospital gown, and a nurse will start an IV line to administer fluids and medications.
Anesthesia
Parathyroid surgery typically involves general anesthesia, so you’ll be asleep and pain-free during the procedure. An anesthesiologist will monitor you closely to ensure you’re comfortable and safe.
The Procedure
The surgery itself usually takes about one to three hours, depending on the complexity. Your surgeon will make a small incision in your neck to access the parathyroid glands. Using advanced techniques, they will remove the problematic gland(s) while preserving the healthy ones. The incision is then closed with stitches or surgical glue.
After the Surgery
Recovery Room
After the procedure, you’ll be taken to a recovery room where you’ll wake up from the anesthesia. Nurses will monitor your vital signs and manage any pain or nausea. Most people feel groggy and may experience a sore throat from the breathing tube used during surgery.
Post-Op Instructions
Once you’re stable, your surgeon will provide detailed post-op instructions. These might include:
- Pain Management – You’ll likely be given pain relievers to manage discomfort.
- Wound Care – Instructions on keeping the incision clean and dry.
- Activity Restrictions – Advice on when you can resume normal activities.
- Diet – You might start with soft foods and gradually return to your normal diet.
Going Home
Many patients go home the same day or the next day. Arrange for someone to drive you home and stay with you for the first 24 hours, as you might still be groggy from the anesthesia.
The First Few Days
Managing Pain and Discomfort
Expect some pain and discomfort around the incision site. Over-the-counter pain relievers or prescribed medications can help manage this. Follow your doctor’s instructions carefully.
Monitoring Symptoms
Keep an eye out for any unusual symptoms, such as:
- Fever – Could indicate an infection.
- Excessive Swelling or Redness – Around the incision.
- Difficulty Breathing or Swallowing – Rare but important to monitor.
- Tingling or Numbness – In the hands, feet, or around the mouth, which could indicate low calcium levels.
Staying Hydrated and Eating Well
Drink plenty of fluids and eat a balanced diet to aid your recovery. Soft foods might be easier to manage initially, so consider soups, smoothies, and mashed vegetables.
Long-Term Recovery
Follow-Up Appointments
Your surgeon will schedule follow-up appointments to monitor your recovery and ensure everything is healing as expected. These visits are crucial for catching any potential issues early.
Scar Care
The incision will heal over time, but you can help minimize scarring with proper care. Keep the area moisturized and protected from the sun. Your doctor might recommend specific creams or treatments.
Adjusting to Changes
If your surgery involved removing all parathyroid glands, you might need lifelong calcium and vitamin D supplements to maintain healthy levels. Your healthcare team will guide you through this transition.
Returning to Normal Activities
Most people can return to work and normal activities within a week or two, depending on their job and overall health. Listen to your body and don’t rush your recovery. Gentle exercises like walking can promote healing without putting too much strain on your body.
What to Look Forward To
Improved Health
For many, parathyroid surgery brings significant health improvements. Symptoms of hyperparathyroidism, like fatigue, bone pain, and kidney stones, often improve or disappear entirely.
More Energy
Many patients report feeling more energetic and alert after recovering from surgery. This newfound energy can greatly enhance your quality of life and overall well-being.
Regular Monitoring
While the surgery is highly effective, regular check-ups are important to ensure your calcium levels remain stable and to monitor for any potential complications.
Wrapping It All Up
Parathyroid surgery might seem daunting, but knowing what to expect can make the journey smoother. From the preparation phase to recovery, each step is a vital part of the process. By staying informed and following your healthcare team’s advice, you can navigate this experience with confidence and look forward to a healthier future.
