Precise, nerve-monitored thyroid surgery for goitre, thyroid cancer, and nodules — with same-day or next-day discharge for routine cases.
Understanding Thyroid Surgery
Surgery is recommended when a thyroid nodule is suspicious for cancer, when goitre causes compressive symptoms, or when a confirmed thyroid cancer requires removal.
Dr. Narayana uses intraoperative nerve monitoring to protect the recurrent laryngeal nerve, reducing the risk of voice change to under 1% in experienced hands.
Surgical Options
Complete removal of the thyroid gland. Standard for thyroid cancer and large bilateral goitres. Followed by radioactive iodine if needed.
Removal of one lobe only. Used for unilateral nodules or low-risk cancer. Preserves some thyroid function — many patients avoid lifelong medication.
Removal of remaining thyroid tissue after initial hemithyroidectomy, when final pathology confirms cancer requiring total removal.
Removal of lymph nodes in the central compartment — performed alongside thyroidectomy when cancer has spread to regional nodes.
What to Expect
FNAC report, ultrasound, and thyroid function tests reviewed. Laryngoscopy performed to assess vocal cord function before surgery.
Anaesthetic review, calcium and PTH baseline, and consent for nerve monitoring.
Performed under general anaesthesia with continuous intraoperative nerve monitoring. Small cosmetic neck incision in the skin crease.
Calcium monitored post-op. Voice assessment before discharge. Most patients go home the next day.
Thyroxine replacement started, radioactive iodine planned if indicated. Histopathology reviewed at 2-week visit.
Why Choose Dr. Narayana
Lead Consultant — Head & Neck Surgery & Oncology & Skull Base Surgery, Bangalore
Frequently Asked Questions
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