**Parathyroid surgery with modern methods** Parathyroidectomy is called **parathyroid surgery** in which one or more parathyroid glands are removed.. Parathyroid glands are four rice-sized glands located behind the thyroid gland in the neck.. Hormones, this causes calcium in the blood to rise. One of the newest modern methods is this surgery... There are three major risks in parathyroid surgery, which are: - Repeated damage to the laryngeal nerve: This nerve controls your vocal cords, and if it is damaged, your voice will snort.... The probability that the patient will have this problem permanently or temporarily during parathyroid surgery is 1% and 5%, respectively... - Bleeding is 1 in 0 as a result of surgery.. This is the main reason why the patient should be hospitalized overnight... - Calcium level Bottom: The parathyroid glands that are located behind the thyroid gland help to control the level of calcium in a person's blood.. If these glands are damaged or removed during parathyroid surgery, the level of calcium in a person's blood can be very low as a result of taking this vitamin, and this vitamin is necessary for the patient.. Supplements... The chance that the patient will need vitamin D and calcium supplements forever is 1% and 5%, respectively... ### **Types of parathyroid surgery** - Bilateral neck identification: This is the traditional method for parathyroid surgery and may be known as parathyroidectomy.. For many years, the success of this surgical method has been proven with a recovery rate of 95% or higher.... - Focused parathyroidectomy: In this method, the doctor seeks to identify and remove the gland that is functioning abnormally.. (vagus nerve): This method is a quality control method in Parathyroid surgery is... It has been investigated... Nerve stimulation surgery was performed in 21 patients without complications.. Parathyroid surgery with laser is one of the newer and less invasive methods for treating parathyroid gland diseases.. usually four parathyroid glands are located behind the thyroid gland.. with parathyroid hormone secretion... sometimes one or more of them become hyperactive (hyperparathyroidism) which causes an abnormal increase in blood calcium... the problematic gland must be removed.... the traditional surgical method is open... but in the laser method of technology **Laser ablation** or **photothermal laser** to **eliminate the overactive and underactive gland. This laser method is used in ## and...*. Parathyroid surgery steps: 1... ** accurate diagnosis of the problematic gland ** using ultrasound and special scans (such as Sestamibi scan) 2.... **local anesthesia** (no need for complete anesthesia) 3 .... **Laser optical fiber entry** through a very thin needle to the desired tumor location 4 .... **sending laser pulses** to heat and destroy the cells of the parathyroid gland 5... **Fiber exit and the end of the operation** which takes about 30 to 45 minutes #### Advantages of laser surgery: - No big cut - No need for general anesthesia - The recovery period is much shorter - Reducing the risk of damage to surrounding tissues such as the laryngeal nerve #### Disadvantages or limitations: - Not suitable for all patients (for example, in cases where multiple glands are involved, a complete operation may be better) - It requires high skill and advanced equipment - Not available in all medical centers To determine the type of surgery, you can consult with your surgeon and choose the best method according to your conditions... **Dr. Ahmed Fanai** is a thyroid and parathyroid surgeon and a member of the American Thyroid Association.... He performs his surgeries with the most up-to-date medical equipment with minimal complications.... For consultation, you can contact us at and consultation *** appointment.

1398-07-07

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