Question

what are the acute and urgent metabolic consequences if during a thyroidenctomy a parathyroidectomy is also
done?

Answer 1

Thyroidectomy is an operation that involves the surgical removal of all the part or a part of the thyroid gland when a patient has thyroid cancer or goiter or some other condition of the thyroid gland (such as hyperthyroidism) .
Where in, Parathyroidectomy is surgical removal of the parathyroid glands or parathyroid tumors. The parathyroid glands are right behind your thyroid gland in the neck. These glands helps our body to control the calcium levels in the blood.
The metabollic consequences includes if a thyroidenctomy a parathyroidectomy is as follows,

*There may be a damage to the remaining parathyroid glands with resultant problems in maintaining calcium levels in the blood.

* Damage to the recurrent laryngeal nerve with resultant weakness or paralysis of the vocal cord or cords.

* Bleeding or hematoma: In rare situations, a blood transfusion may be necessary because blood is lost during surgery. Patients can choose to have autologous blood (their own blood) or blood from a friend or relative collected in advance of the surgery in case a transfusion is necessary.

* There may be Prolonged pain, impaired healing, need for prolonged hospitalization, permanent numbness of the neck skin, poor cosmetic result, and/or scar formation.

* If unexpected thyroid carcinoma, a malignant cancer, is identified. In such situations, much or all of the thyroid gland must be removed, and there may be a need for life-long thyroid hormone treatment.

* Need for further and more aggressive surgery: In some cases, surgical exploration fails to identify the abnormal parathyroid gland or multiple abnormal glands may be present. Further and more aggressive surgery may be necessary, such as an extensive surgical exploration of the neck or chest.