Parathyroidectomy

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What is a Parathyroidectomy?

Parathyroidectomy refers to the surgical removal of an adrenal gland, which is located just in front of the kidney. This procedure is challenging and typically performed by expert surgeons in specialized settings. Here’s what you need to know:

Indications:

  • Tumors: Adrenalectomy is indicated when there is a tumor affecting the adrenal gland.
  • Functional Tumors:
    • Cortical Tumors: These tumors secrete glucocorticoids (Cushingoid signs) and may present with symptoms like polyuria, polydipsia, pot belly, and thin skin.
    • Aldosterone-Secreting Tumors (Conn’s Syndrome): These tumors cause muscle weakness due to hypokalemia and sudden-onset blindness from hypertension.
    • Medullary Tumors: These tumors secrete catecholamines, leading to weakness, collapse, weight loss, anxiety, panting, depression, hypertension, and sudden-onset blindness.

Procedure:

  • Surgical Approach:
    • The surgeon makes an incision under the ribcage or on the side to access the adrenal glands and associated blood vessels.
    • Each adrenal gland is disconnected from the blood vessels and surrounding tissue, and the blood vessels are tied off to prevent bleeding.

Post-Operative Care:

  • Pain Management: Ensuring comfort during recovery.
  • Wound Care: Regular monitoring and cleaning.

Benefits:

  • Disease Control: Removal of tumors.
  • Improved Quality of Life: Relief from symptoms associated with adrenal dysfunction.
  • Preservation of Other Adrenal Gland: Typically, only one adrenal gland is removed, leaving the other functional.

 

Remember, always consult a veterinarian for personalized advice tailored to your pet’s specific needs.