Thyroid Surgery

Thyroid Surgery

Thyroid Surgeon Sydney

About the Thyroid Glands

The thyroid gland is located at the front of the neck, in front of the airway (trachea). It produces thyroid hormones, which play an important role in regulating the body’s metabolism, energy levels, and other bodily functions.

When is Thyroid Surgery Needed?

Thyroid surgery, also known as a thyroidectomy, may be recommended for several conditions, including:

  • Thyroid nodules: Growths within the thyroid gland that may be benign or, in some cases, cancerous.
  • Thyroid cancer: Removal of part or all of the thyroid gland to treat cancer.
  • Goitre: Enlargement of the thyroid gland that causes symptoms such as difficulty swallowing or breathing.
  • Hyperthyroidism: Overactivity of the thyroid gland that may not respond to other treatments.

Dr Chen will discuss your diagnosis and the reasons surgery is being recommended in your individual case.

Thyroid Surgery Procedure

Thyroid surgery is performed under general anaesthesia in a hospital setting. The type of surgery depends on your condition and may include:

  • Total thyroidectomy: Removal of the entire thyroid gland.
  • Hemithyroidectomy (lobectomy): Removal of one lobe (half) of the thyroid gland.

During surgery, an incision is made at the front of the neck to access the thyroid gland. Dr Chen will discuss the planned approach, expected incision, and any specific considerations based on your individual situation.

What to Expect

Before surgery, you will have a consultation to discuss your medical history, any relevant tests or imaging, and the planned procedure. You will receive preoperative instructions, such as fasting requirements.

After surgery, it is common to experience some discomfort or a sore throat due to the position of the surgery. Most patients stay in hospital for one to two days, depending on the extent of surgery and individual recovery. Your surgeon will provide postoperative care instructions and arrange follow-up appointments to monitor your recovery and thyroid hormone levels if required.

Risks and Potential Complications

Thyroid surgery carries certain risks and potential complications. These may include:

  • Bleeding or haematoma formation (collection of blood at the surgical site)
  • Infection, which may require antibiotics or further treatment
  • Changes in voice, such as hoarseness, which may be temporary or, rarely, permanent
  • Low calcium levels (hypocalcaemia) if the parathyroid glands are affected during surgery, requiring calcium supplementation
  • Scarring, with appearance varying between individuals
  • Need for lifelong thyroid hormone replacement therapy if the entire gland is removed

Dr Chen will discuss these risks with you in detail to support informed decision-making.

Further Information

If you have been referred for thyroid surgery or would like more information about your treatment options, please contact our team to arrange a consultation with Dr Paul Chen.

Frequently Asked Questions

When is thyroid surgery necessary?

Thyroid surgery may be recommended for several reasons, including large thyroid nodules, thyroid cancer, an overactive thyroid (hyperthyroidism), or a goitre that causes symptoms such as difficulty breathing or swallowing. Dr Paul Chen will assess your condition and discuss whether surgery is an appropriate treatment option for you.

Will I need to take medication after thyroid surgery?

If your entire thyroid gland is removed (total thyroidectomy), you will need to take thyroid hormone replacement medication lifelong to maintain normal thyroid hormone levels. If only part of the thyroid is removed (lobectomy), the remaining portion may continue to produce enough hormone, although some patients may still require medication to support normal thyroid function.

What is the recovery time after thyroid surgery?

Most patients can go home either on the day of surgery or the following day, depending on their individual recovery and the extent of the procedure. Light activities can usually be resumed within a few days, while full recovery generally takes around 2 to 3 weeks. Mild swelling in the neck area and a sore throat are common after surgery but tend to improve with time.

Dr Chen will provide postoperative care instructions specific to your procedure to support your recovery.

Your Surgery Timeline

Before Surgery:
Medical Preparations

  • Consultation and Medical Review
    Dr Paul Chen will review your medical history, discuss your treatment plan, and assess whether surgery is an appropriate option for you.

  • Pre-Surgical Tests
    Depending on the type of procedure planned, you may require specific health assessments to confirm your readiness for surgery.

  • Medications and Supplements
    Please inform Dr Chen of all medications and supplements you are currently taking. Some may need to be adjusted or paused before surgery to reduce risks such as bleeding.

  • Smoking and Alcohol
    If you smoke, stopping at least four weeks before surgery is recommended to support your recovery. Reducing alcohol intake before surgery is also advised.

Day of Surgery:
Practical Preparations

  • Fasting Guidelines
    Follow the fasting instructions provided by Dr Paul Chen. This usually means having no food or drink for 8 to 12 hours before your procedure.

  • Clothing and Comfort
    Wear loose, comfortable clothing that is easy to change out of and does not place pressure on the area of surgery.

  • Transportation Arrangements
    You will need to arrange for a responsible adult to drive you to and from the surgical facility.

  • Essential Items
    Bring any required paperwork, identification, and insurance details with you. It is recommended to leave valuables and jewellery at home.

Post Surgery:
Planning for Recovery

  • Recovery Space
    Prepare a quiet area at home where you can rest after your surgery.

  • Medications and Post-Surgical Care
    Ensure you have any prescribed medications, dressings, and other recommended supplies organised before your procedure.

  • Support System
    Arrange for someone you trust to assist you during the first 24 to 48 hours after surgery, including help with mobility, meals, and general care as needed.

Schedule your appointment with
Oncoplastic Surgical Centre

Take the first step towards expert care—schedule your consultation with Oncoplastic Surgical Centre today and receive personalised treatment from Dr. Paul Chen and his team.

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