Treatments we offer


Thyroid surgery is used to treat thyroid nodules, thyroid cancer and hyperthyroidism. During this procedure, part or all of the thyroid gland is removed. You may have all or part of your thyroid gland removed, depending on the reason for the surgery.

Our Consultants specialise in Endocrinology (thyroid, parathyroid, pituitary, adrenals, fertility, hypogonadism, irregular periods, vitamin D deficiency), Diabetes, Endocrine oncology and Maternal endocrinology (endocrine problems before, during and after pregnancy, endocrine preparation for IVF) .

 

 

Total Thyroidectomy

Your surgeon will remove the entire gland and the lymph nodes surrounding the gland. Both sections (lobes) of the thyroid gland are usually removed. Additional treatments with thyroid-stimulating hormone (TSH) suppression and radioactive iodine work best when as much of the thyroid is removed as possible.

Thyroid Lobectomy with or without an Isthmectomy

If your thyroid nodules are located in one lobe, your surgeon will remove only that lobe (lobectomy). With an isthmectomy, the narrow band of tissue (isthmus) that connects the two lobes also is removed. After the surgery, your nodule will be examined under a microscope to see whether there are any cancer cells. If there are cancer cells, your surgeon may perform a completion thyroidectomy.

Subtotal (near-total) Thyroidectomy

Your surgeon will remove one complete lobe, the isthmus, and part of the other lobe. This is used for hyperthyroidism caused by Graves disease.

Endoscopic thyroidectomies can be performed via  several small incisions through which a tiny camera and instruments are passed.

Parathyroidectomy (removal of the parathyroid gland)

The old fashioned parathyroidectomy (removal of the parathyroid gland) operation, which is still available in the UK on the NHS, involves a single large incision of 6-8 cm across the neck above the collar bone. This large incision allows the endocrine surgeon to gain access to all four parathyroid glands and check all four of them for disease.

The old fashioned parathyroidectomy surgery is longer and involves full general anaesthetic and a recuperation period of several days in hospital.

As 90% of all cases of Primary Hyperparathyroidism are caused by a single parathyroid tumour it makes sense to be able to locate the single tumour; so that where possible a more focused and less invasive surgery can be used.

Minimally invasive parathyroid surgery involves trying to locate the bad parathyroid gland using a sestamibi scan and ultrasound scan prior to surgery.
Once the effected parathyroid gland is located, the endocrine surgeon can then use a smaller incision of 2cm to gain access and remove the parathyroid tumour.

 

We now offer a minimally invasive treatment for Benign Thyroid Nodules called Thyroid Radio Frequency Abalation (RFA). Click here for more information.