- For toxic hot nodules, that have failed medical management, or cold nodules thyroid lobectomy or total thyroidectomy is performed. For Graves disease surgical treatment is total thyroidectomy.
- Surgery is the most common treatment for primary hyperparathyroidism and provides a cure in about 95 percent of all cases. A surgeon will remove only those glands that are enlarged or have a tumor (adenoma).
- If all four glands are affected, a surgeon will likely remove only three glands and perhaps a portion of the fourth leaving some functioning parathyroid tissue.
- Surgery may be done as an outpatient procedure, allowing you to go home the same day. In such cases, the surgery can be done through very small incisions in the neck, and you receive only local anesthetics.