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What is Laparoscopic Transit Bipartition (LTB)?

Thyroid surgery (thyroidectomy) is a procedure where part or all of the thyroid gland is removed. The thyroid gland is a gland found in your neck just below your vocal cords and is responsible for regulating some of the main body functions such as heart rate, weight loss or gain, and breathing rate through secreting hormones called T3 and T4.

Who Needs Thyroidectomy?

Thyroid surgery is needed when there is a problem with the thyroid gland. The most common problem is oversecretion of hormones (known as Grave’s disease) leading to impaired bodily functions where you’d start losing weight, being irritable, and constantly feeling tired. Other problems of the Thyroid gland include tumors or lumps in the gland (whether benign or cancerous) and other types of swellings such as cysts, as these swellings may affect not only the function of the Thyroid gland but your breathing and airway as well.

How is The Surgery Performed?

The surgery is done under general anesthesia. The surgeon would gain access to the thyroid gland through an incision in your neck crease so that the scar would not be visible later on. He would take great care to avoid some important blood vessels and nerves in the area. According to the extent of the problem, the surgeon could remove the whole gland, one-half of the gland, or a small part of the gland, leaving the rest intact. Once the thyroid gland is removed, the blood vessels are tied up and the wound is closed with a few stitches. You would need to stay in the hospital for a day or 2 just to make sure no bleeding occurs and that your calcium levels are within the normal range.

What to Expect After Thyroid Surgery

Thyroid surgery is a major operation that takes out one of the very important regulators of bodily functions. The body will no longer produce the T3 and T4 hormones, leading to weight gain, lethargy, and in some cases depression. Not only that, but the surgery also affects the parathyroid glands (which are 4 small glands that are usually found very near or within the Thyroid glans) which can be removed during the procedure as well. The parathyroid gland is responsible for Calcium regulation, and its removal could cause an impairment of Calcium levels, leading to a tingling sensation in your fingers and face, dry skin, and muscle twitching. It is important to know these signs and talk to your doctor if you experience any of them.
If you experience any of the above signs, then you will need replacement therapy for both the T3 and T4 hormones, as well as Calcium and Vitamin D supplements as well. Routine blood tests are done every few months to make sure all your bodily functions are normal and all your nutrients and hormones are within normal levels. In addition, since the surgery occurred near your vocal cords, expect your voice to be a little hoarse for a few weeks, but that should resolve on its own. Finally, the scar is barely noticeable after a year or so and will usually not cause any cosmetic problems.

If you need any more information about the procedure or the follow-up aftercare period,
feel free to contact our team anytime