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Endocrine Surgery

Operations on the thyroid, parathyroid, adrenal glands and pancreas belong to the spectrum of endocrine surgery. We carry out the surgical treatment of the hormone-producing organs with great experience in order to help you to recover as quickly as possible.

Thyroid surgery

Millions of Germans suffer from thyroid gland disorders. The complaints are manifold, since the small organ below the larynx produces hormones that influence all metabolic processes of the body.

When is surgial treatment necessary

In many cases, hyper- or hypofunction can be treated with medication or radioiodine therapy. Reasons for a thyroid gland operation are:

  • Cold nodes, for which only an operation can reliably clarify whether they are benign or malignant
  • Hot nodes, so diseases associated with hyperthyroidism, if there are reasons against radioiodine therapy
  • Significant enlargement of the thyroid gland with symptoms such as shortness of breath, difficulty swallowing or lumps in the throat
  • Significant enlargement of the thyroid gland with symptoms such as shortness of breath, difficulty swallowing or globus sensation (as of a lump in the throat)

If a relapse occurs after one year of conservative therapy, surgery is usually necessary as well.

The first step: The correct diagnostics

After a detailed conversation about your complaints, we will palpate your throat to detect thickening and swelling. This is followed by an ultrasound, a scintigraphy and a blood test.

Due to the close cooperation with the present endocrinologists, ear, nose and throat specialists, radiologists and nuclear physicians, the necessary diagnostics can be excellently coordinated and carried out quickly. If necessary, we use a CT, MRI or PET-CT for special questions.

Individual treatment

During the consultation, we will explain the available findings in detail and recommend the most suitable surgical procedure for you. Depending on the indication, the operation can range from partial to complete removal of the thyroid gland and, in the case of malignant diseases, may also involve resection of the surrounding lymph nodes.

Our safety standards

Due to our experience in thyroid surgery, we ensure the highest level of safety: the operation is performed by the surgeon using magnifying glasses, which give him an optimal view of the area to be operated on. In this way the vocal cord nerve and the parathyroid glands, which are important for the body's calcium supply, are spared. During the operation, we use neuromonitoring to check the function of the vocal cord nerves. Also after the operation we check the function of the vocal cord and the calcium level in the blood.

Other diseases of the endocrine glands

Four pea-sized parathyroid glands sit in direct proximity to the thyroid gland and regulate the calcium metabolism. Overfunction can be caused by one or all four parathyroid glands, for example as a result of long-term kidney failure.

If only one gland is affected, we can specifically remove it . If in so-called secondary hyperparathyroidism all parathyroid glands are diseased, we either remove all parathyroid glands and transplant healthy parathyroid tissue into the muscle of the forearm or leave half a parathyroid unremoved.

Reasons for surgery on the adrenal gland is

  • hormone-producing benign tumors
  • malignant tumours with or without hormone production of both the adrenal medulla and the adrenal cortices
  • Tumours of the adrenal glands from a size of 3,5cm

In this case, the surgical treatment consists of the removal of the diseased organ or partial removal, which we usually perform in a minimally invasive manner. If a hormone-producing tumour is present, medication is often used to prepare for the operation.

One reason for surgery is neuroendocrine tumours such as insulinoma.

Depending on the extent of the pathological change, the spectrum ranges from the removal of a conspicuous node to the removal of the entire organ. We frequently perform operations on the pancreas. Keyhole surgery is also often possible he

Your further treatment and follow-up care

After your discharge, we will make an appointment for you to be checked in our outpatient clinic. Should radioiodine therapy, for example, become necessary during further treatment, we will initiate it. In case of complaints occurring after discharge, you can reach a competent contact person around the clock via our emergency centre.

Long-term further treatment and follow-up care is provided by your GP and/or by your resident endocrinologist.

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