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Thyroidectomy Surgery in India Thyroidectomy is a surgery that involves the removal of all or part of the thyroid gland. Thyroid is an H-shaped gland located in the neck and produces several hormones such as thyroxine, triidothyronine , calcitonin, etc that regulates metabolism and other important functions of the human body. Thyroidectomy is advised when one of the following conditions is found in a person;  Cancer  Non-cancerous enlargement or nodule  Hyperthyroidism  Cosmetic reason Candidates for Thyroidectomy Surgery: Thyroidectomy may be recommended for any of the following:    

Hyperthyroidism (overactive thyroid) after failure of medications Hypothyroidism (underactive thyroid) with enlargement of the gland Cancer of the thyroid Noncancerous thyroid nodules that cause breathing or swallowing problems

Preparation for Thyroidectomy Surgery: Prior to any surgery, your doctor will give you a complete medical examination and evaluate your overall health and your health history. You may be required to get additional tests such as X-rays and lab tests. Your doctor will also review with you the potential risks and benefits of the operation and will ask you to sign a consent form. It is important that you ask questions and be sure you understand the reason for the surgery as well as the risks. It is important that you inform your doctor if you have allergies to any medications, what medications you are taking, and if you have bleeding problems. It is also important to inform your doctor if you are pregnant. Your doctor will also give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly.

Thyroidectomy Surgery Procedure: Before a thyroidectomy is performed, a variety of tests and studies are usually required to determine the nature of the thyroid disease. These include Blood test (to determine the levels of active thyroid hormone), Sonograms and computed tomography scans (to determine the size of the thyroid gland and location of abnormalities), A thyroid nuclear medicine scan (to assesses the function of the gland), A needle biopsy may also be done. In most cases, the surgery takes a maximum of two hours. Partial Thyroidectomy takes somewhere around 45 minutes to an hour and Total Thyroidectomy may take an hour and a half or two hours. Surgery may be inpatient or outpatient, depends on the condition of the patient. It is performed under general anesthesia or local anesthesia. Thyroidectomy is performed either by a general surgeon or an otolaryngologist. The surgeon makes an incision in the front of the neck and ensures that the parathyroid glands and the recurrent laryngeal nerves are not injured. The blood supply to the portion of the thyroid gland that is to be removed is clamped off. Then all or part of the gland is removed. A drain which is a soft plastic tube that drains fluid out of the area may be placed before the incision is closed. The incision is closed either with sutures or metal clips. A dressing is placed over the incision and the drain, if one is used.


Types of Thyroidectomy Surgery: Hemithyroidectomy - A hemithyroidectomy is the removal of one of the lobes of the thyroid gland. Hyperthyroidism is a nodule in the thyroid gland that may produce excessive thyroid hormone. Subtotal Thyroidectomy - This procedure performed to remove a lobe, the isthmus, or a part of the other lobe of the thyroid gland. Partial Thyroidectomy – Removal of gland in front of trachea after mobilisation. Near Total Thyroidectomy - This operation involves removal of all or nearly all of the thyroid gland. It may be done for benign thyroid conditions that affect both thyroid lobes, such as large goiter or Graves' disease, or cancer. Total Thyroidectomy - The entire gland is removed. It is performed in case of follicular carcinoma of thyroid. Hartley Dunhill Surgery - Hartley Dunhill surgery is a removal of one entire lateral lobe with isthmus and partial or subtotal removal of opposite lateral lobe. Recovery After Thyroidectomy Surgery: Once the surgery is complete, nurse will monitor your recovery in a post-operative or recovery unit. You will be educated on how to change your dressings and properly care for your incision. You should inspect the incision daily and report any redness or other signs of infection to your physician. If the entire gland is removed, you will be required to take thyroid supplements for life. Most patients are discharged from the hospital one to four days after the procedure. Most resume their normal activities two weeks after the operation. Patients who have cancer may require subsequent treatment by an oncologist or an endocrinologist. Follow-Up Care Post Thyroidectomy Surgery: Clean the wound with hydrogen peroxide using a cotton swab twice each day Apply antibiotic ointment (bacitracin or polysporin) to the wound If you have a bulb type drain, empty the drain bulb twice each day and record the output The skin around the incision will be numb for several months after surgery Three weeks after surgery, you may begin to massage the wound using a vitamin E or aloe containing lotion or oil. This will soften the scar over time  The sutures or the metal clips are removed three to seven days after the operation. Once the sutures are out, you may wash the wound with mild soap and water and gently dry the area

    

Benefits of Thyroidectomy Surgery: Surgery is excellent therapy for hyperthyroidism with hardly any complications or recurrences. It is a great relieve for those not able to conceive and renders childbearing possible. Thyroidectomy also helps in avoiding long-term side-effects of antithyroid medications. Advanced technology and modern methods of treatment have decreased risks greatly and improved results of thyroidectomy. The new minimally invasive video-assisted thyroidectomy has several advantages over the current standard treatment which include smaller incisions that allows patient to heal faster. This helps patient to return to their normal lives sooner.


Side- effects of Thyroidectomy Surgery:  Symptoms of hypoparathyroidism, which include tingling and spasms of the extremities  Fever  Redness or swelling around the incision  Warm incision  Drainage from the incision

Thyroidectomy Surgery in India: Indian hospitals use most advanced and modern techniques and methods for Thyroidectomy surgery. There are many highly skilled consultant surgeons who use the most up to date, specialized techniques. These surgeons successfully discharge each case they handle safely and comfortably. Most of the hospitals in India have state-of-the-art facility and high class infrastructure that provide all the resources for critical surgeries like Thyroidectomy surgery. Indian hospitals offer these services in a comfortable setting where the staff is friendly and compassionate. The surgeons in India deal very efficiently with all the doubts and fears that a patient may have. Cities in India that offer Thyroidectomy surgery at one of the best hospitals are as follows; Mumbai

Hyderabad

Kerala

Delhi

Pune

Goa

Bangalore

Nagpur

Jaipur

Chennai

Gurgaon

Chandigarh

Cost of Thyroidectomy Surgery in India: Indian facilitates a plethora of services to the medical tourists that includes, a hassle free and discounted travel option. India offers a significantly lower cost for hernia repair and treatment. Surgery rates in U.S and UK are most of the times very expensive and beyond one’s budget, for such people low cost Thyroidectomy surgery can be quite a relief. In India, Thyroidectomy surgery is available for a fraction of the cost of that in the developed countries.

Some of the common countries from which patients travel to India for surgery are: USA

UK

Canada

Australia

New Zealand

Nigeria

Kenya

Ethiopia

Uganda

Tanzania

Zambia

Congo

Sri Lanka

Bangladesh

Pakistan

Afghanistan

Nepal

Uzbekhistan


ABOUT INDIA Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service. Mumbai - Formerly known as Bombay, is the commercial & financial capital city of India. Mumbai is famous for many things, including its thriving Bollywood film industry, teeming bazaars, colonial-style buildings, Art Deco structures and a superb choice of restaurants, often being rated as the dining capital of India. The tourist district of Colaba in Mumbai is a great place to start exploring this great city. Hyderabad – Hyderabad city is a great place to visit in the state of Andhra Pradesh. The place has witnessed a continuous growth for last many years. Hyderabad has become a tourist hotspot following ever increasing number of tourists during past few years. Hyderabad has a well-founded reputation as one of the safest cities in the world. Goa - The country's smallest state and famed for its colonial Portuguese and Catholic past, most tourists visit Goa for its endless selection of sandy beaches and coastal attractions. Standing proudly next to the Arabian Sea, Goa is a particularly compact state and often feels like a large town, being easy to travel. Around Goa, tourists will soon realize that the state has much more to offer than simply stunning beaches, fishing, water scooters, windsurfing and scuba diving. Bangalore - Beauty lies in the eyes of beholder and if you want to see one of the most beautiful places in India then Bangalore is the word for it. Bangalore has earned sobriquets like 'Silicon Valley of India', 'Pub Capital of India', and 'City of Gardens'. Pleasant climate with colorful gardens with lakes and glittering nightlife, Bangalore has made its own attraction for travelers as one of the most charming cities in India, Nagpur - Nagpur is the largest city in central India, but with its friendly atmosphere and dependable transportation, you’ll instantly feel at home. The city of Nagpur has a well-built infrastructure, is a clean and affluent city which makes a good jumping-off point for a series of trips into the far eastern corner of Maharashtra. Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala – better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to rejuvenate and revitalize the body. The region is also home to India’s only virgin tropical rain forest – the Silent Valley National Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the planet. Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors. Pune - Once referred to as the Oxford of the east, Pune continues to be a stronghold for academics and culture. An array of factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international standards and many more have made Pune one of the top destinations for medical tourism. Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in India. Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest, including robotic surgery.


Patients Testimonial:

Mr. Charles, Nigeria Thyroidectomy Surgery in India

I am Charles from Nigeria I came to India for a Thyroidectomy Surgery at Goa in India. I had a big mass on my neck for a very long time. The doctor told me that it was due to Hyperthyroidism disorder. I was very much disturbed by it. I consulted my family doctor in Nigeria. He tried his best but didn’t get success in curing it. He himself suggested me to move on to India for a treatment. It was the great support and medical guidance of Indian Healthguru and Dr. Dheeraj Bojwani that helped me to get a successful Thyroidectomy surgery at Goa in India as it was available there at a low cost as compared to other medical destinations. I contacted Indianhealthguru consultants and send them all my case details. I got a call from them it was Dr.Bojwani, he explained me everything related to my surgery. It was really nice talking to him! I got the surgery dates from him after he consulted about me from one of his thyroidectomy surgeons of Goa. I traveled India with my cousin who was eager to visit India. I got the care and attention of one of the most cordial medical staff for my Thyroidectomy surgery at Goa in India. Indianhealthguru consultants arranged me the most luxurious kind of medical lodging. I was pleased with all the arrangements done by them. Everything was just perfectly alright. I met the surgeon he was very kind and caring. After meeting him, all the fear regarding complications and risks of Thyroidectomy surgery was gone in a second. I saw many patients from various foreign destinations getting medical treatment at the hospital. Thelow costof Thyroidectomy surgery at Goa in India was really affordable to me, as I saved a large amount, which was really a great deal for me. I thank Indianhealthguru consultants and Dr. Bojwani in a sincere way for all the care and support.

Mr. Charles Nigeria


Knee Replacement Surgery in India Knee replacement surgery also known as knee arthroplasty is procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. The procedure has been proven to help individuals return back to moderately challenging activities such as golf, bicycling, and swimming. Total knees are not designed for jogging, or sports like tennis and skiing (although there certainly are people with total knee replacements that participate in such sports). Knee replacement is a routine surgery performed on over 600,000 people worldwide each year. Over 90% of people who have had Total Knee Replacement experience an improvement in knee pain and function.

Knee Replacement Surgery Candidates A person would be considered a candidate for knee replacement if there is: • • • • • •

Daily pain The pain is severe enough to restrict work, recreation and ordinary activities of daily living Significant stiffness in the knee Significant instability (constant giving way) of the knee Significant deformity (knock-knees or bow-legs) that hinders normal function of the knee Damage from arthritic conditions, such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis

Success Rate of Knee Replacement Surgery: Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be the best method of handling arthritis in the knee. Knee replacements have literally put hundreds of thousands of Americans back on their feet and allowed them to enjoy their golden years.

Knee Replacement Surgery Preparations: • • • •

• • •

If you smoke, cut down or quit. Smoking changes blood flow patterns, delays healing and slows recovery. If you drink, don't have any alcohol for at least 48 hours before surgery. Ask your doctor for pre-surgical exercises. If you are having hip or knee replacement surgery, doing exercises to strengthen your upper body will help you cope with crutches or a walker after surgery. Your primary care physician or an internist will conduct a general medical evaluation several weeks before surgery. This examination will assess your health and your risk for anesthesia. The results of this examination should be forwarded to your orthopaedic surgeon, along with a surgical clearance. Shortly before your scheduled surgery, you will probably have an orthopedic examination to review the procedure and answer any last-minute questions. You may need to take several types of tests, including blood tests, a cardiogram, a urine sample and a chest X-ray. Advice your surgeon of any medical conditions you have and of all the medications you are taking. You may need to stop taking certain medications or your surgeon may recommend substitute medications until your surgery. Medications such as corticosteroids, insulin or anti-coagulants will need to be managed before and after surgery.


Thyroidectomy Surgery in India