Hyperthyroidism surgery in Bangalore (Graves disease) & Cost


 Best Doctor for Thyroid Surgery.

Dr Adarsh M Patil 1 copyDr Adarsh M Patil mbbs ms  Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.

He believes in that Patient safety comes first and strives to provide exceptional service to patients.

  Call Now ! –+91-9972446882 .

Hyperthyroidism treatment in Bangalore (Graves disease)

Autoimmune diffuse toxic goiter (Graves disease) is the most common cause of hyperthyroidism and may be caused by stimulating immunoglobulins directed against the TSH receptor. Graves disease may be treated with antithyroid drugs, ablation with radioactive iodine (RAI), or surgery, depending on the clinical situation.

hyperthyroidism treatment in Bangalore

Radio Abalation hyperthyroidism treatment in Bangalore (Graves disease)

Ablation with RAI is the treatment of choice for most patients with Graves disease. A dose of 5 to 10 mCi of 131I is given orally and is 75% effective after 4 to 12 weeks. In the 25% of patients with persistent thyrotoxicosis after 12 weeks, double the initial dose is repeated. After treatment, there is a high incidence (70%) of eventual permanent hypothyroidism, which is managed easily by replacement therapy. There are virtually no other long-term side effects of RAI (i.e., no significantly increased risk of thyroid cancer, leukemia, or teratogenicity). Contraindications to radiotherapy include pregnant women, newborns, patients who refuse, or patients with low RAI uptake (<20%) in the thyroid. Treatment of children or young adults (<30 years) with RAI is controversial because of presumed long-term oncogenic risks for hyperthyroidism surgery in Bangalore .

 

Medical Treatment

Thionamide drugs, such as propylthiouracil (PTU) or methimazole, are used for antithyroid drug therapy. PTU (100 to 300 mg orally 3 times daily) is given for 4 to 6 weeks until the patient becomes euthyroid; then the dosage usually is decreased (100 mg orally 3 times daily). The patient is then treated empirically for 6 to 18 months, at which time the drugs are withdrawn. Clinical features that favor remission include small gland size and mild hypothyroidism. However, overall, long-term remission is achieved in less than 20% to 30% of patients. Antithyroid drugs also are used to prepare thyrotoxic patients for surgery or ablative therapy. PTU may be given during pregnancy at reduced doses, especially if thyroidectomy is necessary in the second trimester. Minor adverse reactions occur infrequently and include rash, hepatitis, arthralgias, and a lupuslike syndrome. Agranulocytosis is a rare (0.5%) but serious side effect of thionamide therapy For for hyperthyroidism surgery in Bangalore  .

 

Thyroidectomy for Graves disease

Thyroidectomy for Graves disease may be indicated for children and adolescents, pregnant women (late second or early third trimester), patients unresponsive to or noncompliant with medical therapy, and patients who refuse RAI. One surgical option is bilateral subtotal thyroidectomy, performed with the goal of leaving a 1- to 2-g vascularized cuff of thyroid on each side. However, some centers advocate total thyroidectomy as primary treatment to decrease the recurrence rate of goitrous disease. Risks of surgery are extremely small (<1%) in experienced hands but include hypoparathyroidism and injury to the recurrent laryngeal nerve. Surgery usually results in hypothyroidism. The long-term incidence of recurrent hyperthyroidism after surgery is approximately 10% but depends on amount of tissue left behind. Patients with recurrent hyperthyroidism after thyroidectomy should be considered for treatment with RAI, since reoperation carries a somewhat higher risk of complication.
In multinodular goiter, a large goiter or retrosternal extension can compress the trachea. Subtotal or total thyroidectomy is the treatment of choice if there are symptoms of compression, suspicion of malignancy, or questionable nodules or if the gland is cosmetically bothersome for hyperthyroidism surgery in Bangalore ..

 

Thyroidectomy for Toxic adenoma

Toxic adenoma is an autonomously functioning thyroid nodule that produces hyperthyroidism and is treated by surgical excision (thyroid lobectomy) or RAI.
Rare causes of hyperthyroidism include self-administration of excessive thyroid hormone (factitious hyperthyroidism), iodine-induced hyperthyroidism, pituitary TSH-secreting adenoma, trophoblastic tumors secreting chorionic gonadotropin (which has TSH-like activity), struma ovarii, and thyroiditis For Hyperthyroidism surgery in Bangalore .

Cost of Hyperthyroidism surgery in India Bangalore

Approximatly 70,000/- INR

 Best Doctor for Thyroid Surgery.

Dr Adarsh M Patil 1 copyDr Adarsh M Patil mbbs ms  Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.

He believes in that Patient safety comes first and strives to provide exceptional service to patients.

 Call Now ! –+91-9972446882 .