Thyroid Surgery 101: Think Twice and get outside opinion before you go to surgery for thyroid nodules or cancer. They don’t tell you what can go wrong and how you will be effected for weeks or months after.
Margolick J. et al
Thyroid 28(5 ) 2018 p.624
DR. Guttler’s comments on this article.
- Emergency room visits are common after thyroid surgery ( 8% ).
- Readmission to the hospital also is common. ( 3% ) while re-operations are 1%.
- Post -op low calcium also is common.
- Post op high blood pressure can cause neck bleeding and re-operation for hematomas.
- Re-admission to the hospital occurs with increased frequency with older age, thyroid cancer,dependent functional status,diabetes,COPD, steroid use, recent weight loss, hemodialysis.
- Emergency room visits were around 8%, unplanned re admission to the hospital 3% and re-operation was around 1%.
- Think twice if the surgery is needed and get opinions before if you having a total thyroidectomy,are AfroAmerican, have kidney disease,diabetes, COPD, use steroids, functional dependent status, thyroid cancer, recent weight loss, obesity > 19 BMI, bleeding disorder,liver disease,low serum proteins, recent surgery within 30 days.
- ER visits can be prevented by routine post surgery oral calcium and vitamin D.
- Call me at 310-393-8860 or email to firstname.lastname@example.org for second opinions before thinking about going in for risky thyroid surgery unless absolutely necessary.
- If it is needed I can refer you to the top thyroid surgeons to decrease your risk for complications and re-admissions and another surgery and visits to the ER post op.
- Some of the surgery can be avoided by the use of ethanol and radiofrequency ablation and active surveillance.
- Richard Guttler MD,FACE,ECNU
- Clinical thyroidologist