Thyroxine Medication: In one quarter of people after hemithyroidectomy you will need to take thyroxine medication to supplement the other half of your thyroid gland. This is usually started 6-8 weeks after your operation after reviewing your thyroid function blood tests. This medication should be taken first thing in the morning on an empty stomach. You should continue his dose and your thyroid hormone level should be checked again 6-8 weeks following this to decide if the dose should be adjusted.
Wound Care: The stitches used are absorbable and are underneath the skin and do not need to be removed. Your wound will be covered with Steristrips on discharge. These should be left in place for 1-2 weeks following surgery and will usually be removed on your first visit to clinic. You can get the dressing wet in the shower but avoid rubbing on them. A small amount of dried blood on the dressing is of no concern.
Activities: You will be able to return to most activities once you have left the hospital. Avoid strenuous activities for at least 2 weeks following surgery and avoid heavy lifting or straining for 1 month.
You can drive when you have minimal pain in your neck and can move your neck freely. You are not safe to drive if you are using strong pain medications such as Endone (oxycodone), Panadeine or Tramadol.
Local Symptoms: A number of local symptoms are common following thyroid surgery.
These include: neck tightness around the wound, neck stiffness and sore neck muscles, difficulty swallowing, headaches, your voice may feel slightly weaker especially with prolonged use, swelling around the wound.
These symptoms may last for a few days to a few weeks and varies between people.
Concerning Late complications:
This is very uncommon but can potentially cause breathing difficulty
Delayed internal bleeding or neck haematoma: if you suddenly get swelling in your neck or the feeling of increased pressure in your neck, especially after straining or coughing. Make sure to seek medical attention immediately.
Wound infection: If your wound becomes very red and hot with more swelling you should seek medical attention straight away.
Follow-up: An appointment to see me in clinic will be made, usually 1-2 weeks following your operation.
In case of an emergency present to the Emergency department or call an ambulance.
For medical advice regarding your surgery, please call the rooms on 03 9417 6634.