A hemithyroidectomy is a procedure that involves the partial removal of the thyroid gland. It is a less common procedure than a total thyroidectomy, but in recent years the partial removal procedure has become more common because in the right cases it has similar outcomes to a total thyroidectomy, and the partial operation preserves more of the gland. Today, we explain why your doctor may recommend a hemithyroidectomy, and what the procedure entails.
Who Could Benefit From A Hemithyroidectomy?
A number of patients with varying thyroid issues could benefit from a hemithyroidectomy. Some patients who may be evaluated for the procedure include those with:
- Suspected Thyroid Cancer – Partial removal of a thyroid lobe allows the tissue to be analyzed to determine if a total thyroidectomy needs to be performed if the tests reveal cancer.
- Thyroid Nodule Compression – If a thyroid nodule enlarges to the point that is compresses vital structures in the area, a hemithyroidectomy may be performed.
- Hyperthyroidism – If the thyroid gland is over-producing hormones, a hemithyroidectomy may be able to slow down this overproduction.
- Goiter or Thyroid Enlargement – If your thyroid gland is enlarged and causing a visible bump on the neck, a hemithyroidectomy may be ordered.
How Is A Hemithyroidectomy Performed?
A hemithyroidectomy is performed in a similar manner as a total thyroidectomy. The patient is placed under general anesthesia while lying on their back. From there, the surgeon makes a horizontal incision near the gland on the neck. The surgeon navigates to the gland and removes the offending lobe or nodule. The remaining gland is addressed to ensure it can continue to function properly before the incision site is closed and the patient is sent to a recovery ward. Should testing reveal that a total thyroidectomy is necessary, the surgeon would go back through the previous opening and remove the remainder of the gland.
Assuming everything goes as planned, patients can typically be allowed to leave the surgical center the day after surgery. There are some potential risks involved with the procedure, most notably bleeding, scarring or nerve damage, but these risks are rare and surgeons work tirelessly to prevent them from occurring. Bleeding is rather easy to account for, nerve damage happens in about one percent of cases and may only be temporary, and a scar is more of a cosmetic issue than anything.
A full recovery usually takes about 1-2 weeks, so your surgeon may recommend that you stay home from work or school during this time period. After 14 days, enough healing has occurred for you to partake in most physical activities, but you’ll want to get medical clearance from your doctor at your check up before returning to strenuous activity. For more information about the hemithyroidectomy procedure or to talk to a surgeon about your thyroid issues, reach out to Dr. Koeplin’s office today.
