Thyroid Surgery: When Is It Necessary and What Are the Steps

The thyroid gland, a small butterfly-shaped organ in the front of the neck, regulates metabolism, energy, and overall body function. Disorders can range from benign nodules to cancer. Surgical intervention, when necessary, is crucial for effective treatment. In Egypt, Prof. Ashraf Salem is a leading general and endocrine surgeon in Nasr City, Cairo, known for precision and high success rates.

Common Thyroid Conditions Requiring Surgery

  • Thyroid Cancer: Removal prevents tumor spread.
  • Large Benign Nodules: May compress airway or esophagus.
  • Hyperthyroidism Resistant to Medication: Surgery is needed if other treatments fail.
  • Goiter (Enlarged Thyroid): Causes cosmetic or functional problems.
  • Suspicious Cells Detected in Biopsy: Surgery ensures safety.

Preoperative Assessment

  • Thyroid hormone tests (TSH, T3, T4)
  • Calcium levels for parathyroid function
  • Ultrasound of the thyroid
  • Fine needle aspiration (FNA) biopsy
  • Vocal cord assessment

Steps of Thyroid Surgery

  • Small neck incision for minimal scarring
  • Careful separation from surrounding tissues
  • Partial or total thyroid removal
  • Parathyroid evaluation to prevent calcium imbalance
  • Cosmetic closure using fine sutures or adhesive strips

Recovery and Postoperative Care

  • Hospital stay: 1 day
  • Recovery: 7–10 days
  • Rare complications: temporary voice changes, low calcium
  • Hormone replacement may be needed
  • Regular follow-ups for hormone balance

Why Choose Prof. Ashraf Salem? Best Thyroid Surgeon in Cairo

  • 30+ years in general and endocrine surgery
  • Fellow of the Royal College of Surgeons (Edinburgh, Glasgow, Ireland, London)
  • Specialized minimally invasive thyroid surgery
  • Established thyroid and parathyroid center with international collaboration
  • High success rate, minimal complications