If you’ve been diagnosed with a parathyroid condition that requires surgery, you’re likely feeling a mix of emotions—relief at finally having a solution, along with uncertainty about the surgical process. This step-by-step guide will walk you through everything you need to know to prepare for parathyroid surgery, helping you feel confident and well-informed at every stage.
Whether you're undergoing surgery at Action Cancer Hospital, a leading center for endocrine surgery, or another facility, this guide will support you through the journey with practical tips, expert insights, and patient-friendly advice.
What Is Parathyroid Surgery?
Parathyroid surgery, or parathyroidectomy, is a procedure to remove one or more of the parathyroid glands. These small glands, located behind the thyroid, regulate calcium levels in your body. When one or more become overactive—a condition called primary hyperparathyroidism—surgery is often necessary.
This surgery is highly effective and often curative, especially when performed by skilled endocrine surgeons like those at Action Cancer Hospital.
Why Might You Need Parathyroid Surgery?
There are several reasons you might be referred for a parathyroidectomy:
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Primary hyperparathyroidism due to a benign tumor (adenoma)
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Parathyroid hyperplasia, where multiple glands are overactive
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Secondary hyperparathyroidism, often linked to kidney disease
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High calcium levels causing symptoms like kidney stones, bone loss, fatigue, or cognitive changes
If your calcium and parathyroid hormone (PTH) levels are persistently high, and you have symptoms or complications, surgery is typically the best course of action.
Choosing the Right Hospital for Parathyroid Surgery
Your choice of hospital plays a major role in the success of your surgery and recovery. Look for:
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Experienced endocrine surgeons with a track record in minimally invasive techniques
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Advanced imaging and diagnostics for accurate gland localization
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A dedicated endocrine surgery unit, like the one at Action Cancer Hospital, with specialized post-op care
A center of excellence like Action Cancer Hospital offers a multidisciplinary approach with expert endocrinologists, radiologists, and surgical staff working together for optimal outcomes.
Step 1: Confirm Your Diagnosis
Before any surgery is planned, a confirmed diagnosis is crucial. Your doctor will typically order:
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Blood tests to assess calcium and PTH levels
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Urine tests to check calcium excretion
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Imaging studies like Sestamibi scans, ultrasounds, or 4D-CT scans to locate the abnormal gland(s)
Sometimes, additional scans may be necessary if the gland isn't easily localized.
Step 2: Meet with Your Surgeon
This consultation is your chance to:
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Discuss the type of surgery (minimally invasive vs. traditional open surgery)
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Understand the risks and benefits
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Ask about the expected recovery time
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Discuss any medications or supplements you're currently taking
Your surgeon will also review any medical conditions (such as diabetes or heart disease) that could impact the surgery.
Step 3: Get Preoperative Tests Done
Before surgery, you'll need a few routine preoperative evaluations:
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ECG to check your heart health
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Chest X-ray (if needed)
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Blood tests to assess your overall health and calcium/PTH levels
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A review of your medications, including any blood thinners, which might need to be stopped before surgery
Make sure to bring a list of all medications and supplements to your pre-op appointment.
Step 4: Follow Pre-Surgery Instructions Carefully
Your surgical team will give you a list of instructions. Be sure to:
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Stop eating and drinking 8–12 hours before surgery (your hospital will confirm the exact time)
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Avoid certain medications as directed
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Arrange for someone to drive you home after surgery
Being well-prepared ensures that surgery goes smoothly and reduces the risk of complications.
Step 5: The Day of Surgery – What to Expect
On the day of your surgery:
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Wear comfortable, loose-fitting clothes
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Leave jewelry and valuables at home
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Bring your medical records and insurance details
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You’ll check into the hospital a few hours before surgery
The procedure usually takes 1 to 2 hours and is done under general anesthesia. Most patients can go home the same day or after an overnight stay.
Step 6: Immediate Postoperative Care
After surgery, you'll be moved to a recovery area. The medical team will monitor:
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Calcium levels (drops in calcium are common after surgery)
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Throat discomfort or hoarseness, which is usually temporary
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Incision site for swelling or bleeding
You may be given calcium supplements to manage low levels temporarily.
Step 7: Recovery at Home
Recovery from minimally invasive parathyroid surgery is usually quick. Most people can:
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Resume light activity within a few days
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Return to work in about a week
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Eat normally as soon as they feel ready
Follow these tips for a smooth recovery:
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Take medications as prescribed
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Stay hydrated
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Watch for symptoms like numbness, tingling, or cramps—signs of low calcium
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Keep your incision clean and dry
Your care team will schedule a follow-up visit within 1–2 weeks to check your progress and calcium levels.
Step 8: Long-Term Follow-Up and Monitoring
Even though parathyroid surgery often offers a permanent cure, regular follow-up is key. You may need:
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Periodic calcium and PTH tests
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Bone density scans to monitor bone recovery
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Diet and lifestyle advice to maintain healthy calcium levels
At Action Cancer Hospital, the endocrine team ensures long-term patient care and support to prevent recurrence and support full recovery.
FAQs: Your Common Questions Answered
Q: Is parathyroid surgery dangerous?
A: It's considered safe when performed by experienced surgeons. The risks, such as nerve injury or bleeding, are low.
Q: Will I have a scar?
A: Yes, but with minimally invasive techniques, the scar is small and often hidden in a neck crease.
Q: What if more than one gland is affected?
A: Your surgeon will check all glands during surgery and remove any that are overactive.
Q: Can hyperparathyroidism come back?
A: Recurrence is rare but possible. Regular follow-ups help catch any early signs.
Conclusion
Parathyroid surgery is a life-changing procedure that can significantly improve your quality of life—especially if you’ve been struggling with high calcium symptoms. The key to a successful outcome lies in choosing the right hospital, preparing thoroughly, and following your surgeon’s advice both before and after surgery.
Action Cancer Hospital is equipped with state-of-the-art technology, expert surgical teams, and compassionate care to guide you every step of the way. With the right support, you can face surgery with confidence and look forward to a healthier, more energized future.
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