Symptoms of parathyroid disease:

As your calcium levels are affected, these tumors can cause issues to your bones. Your bones might be fragile, brittle, and painful. This may cause you to experience bone fractures, excessive urination, and kidney stones. Other nonspecific symptoms could be:

1. Nausea
2. Vomiting
3. Pain in the abdomen or your muscles
4. Mental depression, confusion

What causes this Tumor?

Doctors aren’t even sure what the main cause of this tumor is in your gland. You may develop a tumor genetically or radiation exposure can also be a reason for developing this tumor.

If you are a woman and over 60 years old, you are more likely to develop tumor. It can also appear in men or of any age too.

Tests

1.Sestamibi-SPECT scan
2. Blood Tests
3. MRI and CT scan
4. Ultrasound
5. Surgical consultation
6. Arteriography and venous sampling

Why It’s Done 

Parathyroid Dubai surgery, or Parathyroidectomy, is performed for several reasons, primarily to treat and manage parathyroid disorders, particularly hyperparathyroidism. Here are some specific reasons why parathyroid surgery may be done:

1. Primary Hyperparathyroidism: This is the most common reason for parathyroid surgery. One or more parathyroid glands overproduce parathyroid hormone (PTH) when a person has primary hyperparathyroidism. It leads to elevated calcium levels in the blood (hypercalcemia) and can cause symptoms such as fatigue, kidney stones, bone pain, and digestive issues. Parathyroidectomy is performed to remove the affected gland(s) and restore normal calcium levels.
2. Parathyroid Adenoma: In some cases of primary hyperparathyroidism, a single parathyroid gland develops a non-cancerous tumour called a parathyroid adenoma. These tumors are typically the cause of the overproduction of PTH. Parathyroid surgery aims to remove the adenoma and restore normal parathyroid function.
3. Parathyroid Hyperplasia: Parathyroid hyperplasia refers to the enlargement of multiple parathyroid glands, causing excessive PTH production. It is less common than parathyroid adenomas but can cause primary hyperparathyroidism. The best parathyroid surgeon in UAE believes that Parathyroidectomy may be necessary to remove the hyperplastic glands and restore proper hormone regulation.
4. Parathyroid Cancer: Although rare, parathyroid cancer (parathyroid carcinoma) is another indication of parathyroid surgery. The primary treatment method for suspected or proven parathyroid cancer cases is surgical excision of the afflicted gland(s). Further therapies like radiation therapy or chemotherapy may be advised depending on the cancer’s stage and features.

The primary goal of parathyroid surgery is to normalize blood calcium levels, relieve symptoms associated with hyperparathyroidism, prevent complications like kidney stones and osteoporosis, and, in the case of cancer, remove malignant tissue. 

Risks Associated with Parathyroid Dubai

• Bleeding: There is a risk of bleeding during or after parathyroid surgery. However, this is relatively uncommon.
• Infection: The danger of infection at the incision site or surrounding tissues exists with every surgical procedure.
• This risk is generally low and can be minimized with proper sterile techniques.
• Damage to surrounding structures: During surgery, there is a slight risk of unintentional damage to nearby structures such as the thyroid gland, vocal cords, or nerves. However, this risk is minimal when an experienced surgeon performs the procedure.
• Recurrent or persistent hyperparathyroidism: In some cases, the surgery may not completely resolve hyperparathyroidism. It can occur if multiple affected glands are not identified or if there is regrowth of abnormal tissue after surgery.
• Hypoparathyroidism: In rare cases, the surgery may lead to a parathyroid hormone deficiency (hypoparathyroidism), which can cause low calcium levels in the blood. This condition may require lifelong treatment with calcium and vitamin D supplements.
• Anesthesia risks: Using anesthesia carries inherent risks, including allergic reactions, breathing difficulties, and medication side effects. However, these risks are generally low and managed by the anesthesiologist.

What You Can Expect 

When undergoing parathyroid surgery, here are some general expectations of what you can anticipate:

• Preoperative Evaluation: Before the surgery, you will undergo various evaluations, including blood tests, to assess calcium and parathyroid hormone levels. Imaging tests may be performed to locate the affected parathyroid gland(s). These tests help in planning the surgical approach.
• Anesthesia: Parathyroid surgery is typically performed under general anaesthesia, which means you will be unconscious and feel no pain during the procedure. The anesthesiologist will discuss the plan and ensure your comfort and safety.
• Surgical Procedure: The specific surgical technique will depend on the individual case and the surgeon’s expertise. Minimally invasive Parathyroidectomy is the most common approach, which involves making a small incision in the neck or utilizing endoscopic techniques. Open Parathyroidectomy may be performed in certain cases requiring a larger incision. The best parathyroid surgeon in UAE will remove the affected parathyroid gland(s) while preserving the surrounding healthy tissue.
• Duration of Surgery: The complexity of the case and the surgical approach used are two variables that can affect how long the procedure takes. The average length of parathyroid surgery is one to three hours.
• Recovery and Hospital Stay: Since parathyroid surgery is frequently performed as an outpatient procedure, you can leave the hospital and return home the same day. An overnight hospital stay, however, might be required in some circumstances. Your health will be monitored, and the staff will provide instructions for postoperative pain management, wound care, and activity restrictions.
• Postoperative Follow-up: Regular follow-up visits with your healthcare provider will be scheduled to monitor your recovery and calcium levels. Blood tests may assess your parathyroid hormone and calcium levels to ensure they return to normal ranges.
• Resumption of Normal Activities: The recovery period can vary, but most patients can resume their normal activities within a few days to weeks, depending on the extent of the surgery and individual healing. Your healthcare provider will guide you when you can return to work, exercise, and other daily activities.

During the Procedure

During a parathyroid surgery procedure, the following steps are typically involved:

• Anesthesia: You will be given general anaesthesia, which will put you into a deep sleep and ensure you feel no pain or discomfort during the surgery.
• Incision: The surgeon will make a small incision in the neck, typically in the lower central region or slightly to the side. The location may vary depending on the surgeon’s preference and the patient’s anatomy.
• Exploration and Identification: The surgeon will carefully explore the area to locate the parathyroid glands. There are usually four parathyroid glands, but other glands may be present or located in unusual positions in some cases. Specialized techniques, such as intraoperative parathyroid hormone (PTH) monitoring and imaging techniques, may be employed to aid in identifying the affected gland(s).
• Gland Removal: Once the affected parathyroid gland(s) are identified, the surgeon will carefully remove them while preserving the surrounding healthy tissue. Only the affected glands are removed in cases of parathyroid adenoma or hyperplasia. In rare cases of parathyroid cancer, adjacent lymph nodes may also be removed to ensure complete excision of the malignant tissue.
• Closure: After the diseased gland(s) have been removed, the incision is stitched or surgically stapled shut. Dissolvable sutures may be used, avoiding the need for later suture removal, and the incision is normally minimal. A sterile dressing may be used to cover the wound.
• Recovery: You will be moved to the recovery area after the procedure, where you will be closely watched while you emerge from anaesthesia. The medical staff will evaluate your vital signs, amount of pain, and any immediate postoperative problems.

After the Procedure

After the parathyroid surgery procedure, the following steps typically occur:

• Recovery Room: After the surgery, you will be taken to a recovery room or post-anesthesia care unit (PACU). Here, healthcare professionals will closely monitor your vital signs, pain levels, and overall recovery from the anesthesia.
• Observation and Pain Management: The medical team will monitor your condition for any immediate postoperative complications and ensure you are comfortable. Pain medication may help manage any discomfort or soreness at the incision site.
• Postoperative Instructions: You will be given comprehensive instructions on taking care of your incision, dealing with any discomfort, and following up with your healthcare practitioner before leaving the hospital. It’s crucial to carefully adhere to these guidelines to encourage good healing and recovery.
• Follow-up Appointments: You will schedule follow-up appointments with your healthcare provider to monitor your recovery progress. These appointments will include assessments of your calcium and parathyroid hormone levels through blood tests. The frequency of follow-up visits may vary depending on your specific case.
• Resumption of Activities: Your healthcare provider will guide you when you resume normal activities, such as returning to work, exercising, and lifting heavy objects. The timeline for resuming these activities will depend on your healing process and the extent of the surgery.

Results

It will be crucial to analyze the procedure’s long-term effects and guarantee optimum health by scheduling regular follow-up appointments and checking calcium and parathyroid hormone levels.

You can visit Neuro Spinal Hospital, the best parathyroid center in Dubai, to receive high-quality treatment. However, the results of parathyroid surgery can generally be categorized into three possible outcomes:

• Successful Resolution: Most parathyroid surgeries successfully resolve the underlying condition, such as primary hyperparathyroidism caused by parathyroid adenoma or hyperplasia. It means that the overactive parathyroid gland(s) responsible for excessive parathyroid hormone (PTH) production are removed, leading to a normalization of calcium levels in the blood. As a result, symptoms associated with hyperparathyroidism, such as fatigue, bone pain, kidney stones, and digestive issues, typically improve or completely resolve.
• Persistent or Recurrent Disease: In some cases, the surgery may not completely resolve the condition, and persistent or recurrent hyperparathyroidism can occur. It may happen if there are additional affected parathyroid glands that were not identified during the surgery or if there is regrowth of abnormal tissue. Further evaluation and additional treatments may be required to address this situation.
• Parathyroid Cancer Management: In parathyroid cancer (parathyroid carcinoma), the surgical removal of the malignant tissue is the primary treatment approach. The surgery results will depend on various factors, such as the cancer stage, metastasis, and the extent of the surgical excision. Different therapies like chemotherapy or radiation therapy may be suggested depending on the particulars of the cancer.

BEST PARATHYROID CENTER DUBAI, UAE

Neuro Spinal Hospital in Dubai has the best surgeons on the team dedicated to providing the most advanced treatments and superior medical care for both routine care and chronic diseases. The surgeons at our hospital have unmatched experience in the diagnosis, screening, and treatment of parathyroid tumors and cancer and are pioneers in the minimally invasive treatment of parathyroid Dubai.

Neuro Spinal; the best parathyroid center in Dubai, UAE put forward services such as intraoperative parathyroid hormone assay (PTH), radio-nuclear localization, and gamma probe utilization, intraoperative ultrasound among the minimally invasive approach and outpatient/daycare surgery via the newest international standards.

Team of Best Parathyroid Surgeons UAE