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Parathyroid Surgery Where the parathyroid are and what do they do? The parathyroid glands are the size of a rice grain and sit around the butterfly shaped thyroid gland. There are usually 4 parathyroid glands. They secrete a hormone called PTH, which acts on many organs including the stomach, bones, and kidneys to increase the blood level of calcium. If you have been referred for consideration for parathyroid surgery by your doctor, it may be because they have found a high calcium level in your blood.

Why do I need a parathyroid surgery? Removal of one or more of your parathyroid glands is required for the following reasons:  Weakening of your bones producing osteopenia or osteoporosis  Kidney stones  Kidney failure   Very high blood calcium level   Tiredness, fatigue and forgetfulness  To prevent the complications of untreated hypocalcaemia in a healthy asymptomatic patient


What type of scar will I have? Professor Sidhu will offer a keyhole operation where possible. The majority of patients can have a keyhole operation. The neck incision for this is 2-2.5cm. Prior to surgery, where appropriate, you may have a sestamibi scan, ultrasound and/or CT scan to localise the abnormal gland producing your high calcium. If localisation is possible this increases the probability of being able to have a keyhole procedure. If the abnormal gland cannot be localised prior to surgery Professor Sidhu may undertake a four gland exploration. The incision for this procedure will be approximately 5cm. Professor Sidhu will make the incision in an existing crease within the neck wherever possible. Post-operative care of the wound will assist to reduce the visibility of scarring. Following surgery the wound will be stitched with dissolvable stitches, it will be covered with surgical tape. If the surgical tape comes off before your postoperative review it can be replaced with microspore tape which is available at most pharmacies.

What can go wrong? Everyone is naturally worried about having their throat cut through parathyroid surgery. It is not possible for a parathyroid surgeon to give a patient a guarantee of no complications. However, after having performed over 5,000 operations on the neck, patients can be reassured that risks of problems occurring are small and when they do occur drstansidhu has the expertise to manage them.

Specific Risks of parathyroid surgery Permanent voice change -<0.5% Inability to raise the voice -1-2% Permanent total or partial hypo-parathyroidism requiring calcium /or vitamin D tablets -2-3% Bleeding requiring reoperation -<0.5% Wound Infection -<1% Keloid or hypertrophic scar -rare


Read: Professor Stan Sidhu is a leader in endocrine research in Australia. Professor Stan Sidhu is a leading endocrine surgeon who specialises in parathyroid cancer, thyroid surgery, adrenal surgery, and salivary gland tumor surgery

Endocrine research - Dr. Stan Sidhu  

Professor Stan Sidhu is a leader in endocrine research in Australia. He is an endocrine surgeon who specialises in minimally invasive surger...

Endocrine research - Dr. Stan Sidhu  

Professor Stan Sidhu is a leader in endocrine research in Australia. He is an endocrine surgeon who specialises in minimally invasive surger...

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