Patient Education – Keyhole Thyroid Surgery – English
Endoscopic Thyroidectomy – Scarless thyroid surgery – without any cut in the neck.
All of you are familiar with thyroid problems. There can be two types of problems. One is functional, hypothyroidism or hyperthyroidism. Functional means you either have less function, which is hypothyroidism, and if the thyroid is working more then it is called hyperthyroidism. For hypothyroidism, the only treatment available is you have to take thyroxine. Thyroxine is a very safe medicine. It has to be taken in the morning. About 20 percent of people are affected with hypothyroidism and they have to take medicines, keep the thyroid levels at normal limit by checking it every 3 months or 6 months.
When the thyroid function is more – hyperthyroidism – it is called thyrotoxicosis. That means, thyroid is secreting thyroid hormone, but it is in larger quantity. That is harmful to the body because the pulse rate, metabolic rate, everything changes when the thyroid hormone levels are on the higher side. So what has to be done is thyroid function test has to be done. We need to find whether the thyroid gland is also getting bigger, whether it is because of thyroid infection or inflammation, thyroiditis, needs to be assessed. If the thyroid is not much enlarged you can try medicines, called anti-thyroid drugs. That means medicines working against thyroid by which you can reduce the thyroid hormone production and the pulse rate will be on the higher side for which we will give medicines which will reduce the pulse rate also.
But thyroid function if it is more and there is gland enlargement, that is goiter also, it is called secondary thyrotoxicosis or when there is a nodule with thyroid you may not be controlling the thyroid with medicine alone. Still you have to try and control temporarily with anti-thyroid medicines. Anti-thyroid medicines are not really safe. You cannot continue for longer period of time because it can reduce blood cell count or cause other problems. So what we do is give it for sometime. If the thyroid hormone levels are getting normal fine. If it is not getting normal, the gland has to be removed.