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- New technology laser therapy for Hashimoto disease (hypothyroidism)
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Recommendations for the Post-Thyroid Surgery » Postoperative Care
There is no diet or movement restriction after the surgery. Iodine salt can be used in meals.
The patient may feel a slight pain or stinging sensation during swallowing due to the tube inserted into the trachea under general anesthesia. It spontaneously heals within 1-2 days. A throat pastille such as Bephantol can be used.
On the 2nd day of the operation, patient may have bath and use water and soap on the wound (the next day after surgery is the 1st day).
Since absorbable sutures are used on the wound, sutures do not need to be removed.
Small bandages applied on the wound can be removed 3-4 days later.
Patients who are administered calcium after surgery stops this medicine by reducing one tablet every week, if the initial dose is 3X1; next week 2X1, the week after next week 1X1).
If complaints such as numbness, tingling and sometimes spasms around the lips and at the fingertips and tiptoes occur, they should be reported to the doctor. These findings are the indications of low levels of calcium.
If symptoms such as significant swelling, rash, pain arise in the surgical area, the doctor should be informed.
Patients who underwent surgery due to toxic goiter discontinue the antithyroid drugs (Propycil or Thyromazole) they were using before surgery. Patients who use dideral continue to use the half of the dose one more week after the surgery. A week later, Dideral is stopped.
A week later, "a scar reducing cream or olive oil" should be applied on the incision in mornings and evenings (it is discontinued if side effects such as itching, rash arise).
During spending time outdoors, suncream (50 SPF) with high sun protection factor should be applied on the surgical area for 1 year.
Patients whose bilateral thyroid lobes are removed starts to take 50 mcg "Levothyroxine" tablets every morning pre-prandial. The dose is adjusted according to free T4 and TSH levels a month after the surgery.
Patients whose single thyroid lobe is removed usually do not need to use thyroid hormone. If necessary, medication is started according to free T4 and TSH levels a month after the surgery.
Since absorbable sutures are used on the skin, sutures do not need to be removed. Sometimes the skin edges are approached with adhesive bandages.
The wound area can be contacted with water on the 2nd day after the surgery (the day after surgery is considered as the 1st day).
Pain, rash or swelling developed in the wound are on the following days after the discharge are the signs of an infection (inflammation). It is rarely seen.
In all thyroid surgeries, the incision is closed up in accordance with aesthetic technique but sometimes visible scars may be left according to the person's wound healing process. Usually 6 months after the surgery, the scar becomes hardly visible. Since the surgical incisions are made on the natural lines of the neck, they end up being hardly noticeable over time. Patients who undergo surgery in the summer months should use a suncream with high sun protection factor while going out. The wounds exposed to sun are at high risk for scarring.
In the course of a standard thyroid surgery, patient can return to work a week later. This depends on individual characteristics and the condition of the disease. The period to return to work extends if a complication develops.