Parathyroid Surgery

Parathyroid Surgeon Sydney

About the Parathyroid Glands

The parathyroid glands are four small glands located in the neck, behind the thyroid gland. They produce parathyroid hormone, which plays an important role in regulating calcium levels in the bloodstream.

Why Parathyroid Surgery May Be Needed

When one or more parathyroid glands become overactive (a condition known as hyperparathyroidism), calcium levels in the blood can rise. Elevated calcium levels can lead to symptoms such as:

Kidney stones
Fatigue
Muscle weakness
Changes in heart rhythm (arrhythmias)

If investigations show that high calcium levels are caused by an overactive parathyroid gland, surgery may be recommended to remove the affected gland.

Parathyroidectomy Procedure

Parathyroidectomy is the surgical removal of one or more parathyroid glands. In many cases, a minimally invasive approach can be used, involving small incisions. This procedure often requires a single overnight stay in hospital. If more than one gland is involved, a longer hospital stay may be needed.

Dr Paul Chen uses nerve monitoring during parathyroid surgery to assist in protecting the nearby nerves.

Potential Risks and Complications

Parathyroid surgery carries certain risks. 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 due to nerve irritation or injury, which may be temporary or, rarely, permanent
Low calcium levels (hypocalcaemia) if too much parathyroid tissue is removed or if the remaining glands do not function properly after surgery, which may require calcium supplementation
Scarring, with the appearance varying between individuals
Need for further surgery if calcium levels remain elevated or symptoms persist

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

Further Information

Dr Chen will discuss the planned procedure, expected recovery, and any potential risks or complications with you during your consultation to support informed decision-making.

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Frequently Asked Questions

Why would I need parathyroid surgery?

Parathyroid surgery is most often performed to treat primary hyperparathyroidism, a condition in which one or more of the parathyroid glands produce too much parathyroid hormone (PTH). This leads to elevated calcium levels in the blood, which can cause symptoms such as kidney stones, osteoporosis, fatigue, and muscle weakness.

Dr Paul Chen will assess your condition and discuss whether surgery is an appropriate treatment option for you.

How is parathyroid surgery performed?

Parathyroid surgery involves removing the overactive gland through a small incision in the neck. Imaging studies performed before surgery help to locate the affected gland, allowing for targeted removal while preserving surrounding healthy tissue.

In some cases, a larger surgical approach may be required if multiple glands are involved.

What can I expect after parathyroid surgery?

Most patients recover within a short period and can return home on the day of surgery or the following day, depending on their individual situation. Mild swelling, a sore throat, or temporary changes in calcium levels may occur after surgery. These symptoms usually improve over time with appropriate postoperative care.

Dr Paul Chen will provide detailed recovery instructions, including information about calcium supplementation if required, to support your healing.

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.