Sri Thyroid Endocrine & Breast Clinic
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Thyroid & Parathyroid gland Breast and Adrenal gland Surgery Pancreatic  and Thymus  Surgery
Dhalapathy Sadacharan
Dr Dhalapathy Sadacharan is an eminent surgeon in the field of Endocrine & Breast Surgery in India. He has been an active Practitioner in Chennai as an Endocrine Surgeon providing quality health care
Para Thyroid

 Para Thyroid

Minimally invasive / Focussed Parathyroidectomy This surgery involves a 2 to 2.5 cm incision of focused exploration/removal of a single abnormal parathyroid gland. Since most of the Patients with primary hyperparathyroidism have only one gland that is abnormal, the surgeon examines and removes just the hyperactive parathyroid gland and not all four parathyroids.. In a focused parathyroidectomy, the surgeon goes after and removes only the hyperactive gland that is identified on pre-operative localizing tests. The most common are sestamibi scan and ultrasound.
Classical four gland exploration This involves a 4 cm incision and involves visualisation of all the 4 parathyroid glands and assess macroscopically the size of the gland and look for abnormality of each gland. Removal may be one or more than one abnormal glands.
Three and half gland Parathyroidectomy The parathyroid glands are 4 little glands found on the back of the thyroid gland. They are responsible for controlling the level of calcium in the blood. For Some Patients, all 4 of the glands are enlarged (called parathyroid hyperplasia), and in these cases the surgeon removes three and a half glands, leaving you with half a gland (size of a normal remnant) to maintain a normal calcium level in the blood.
Total 4 gland Parathyroidectomy This entails removal of all the 4 parathyroid glands as well as extra (supernumerary glands) to make a person devoid of Parathyroids in extremely rare situations like neonatal severe hyperparathyroidism
Transcervical thymectomy A thymectomy is the surgical removal of the thymus gland. The thymus is located in the front portion of the chest (anterior mediastinum) with “finger-like” extensions into the neck and consists of multiple lobes (two to five or more).

This surgery involves Thymus Removal and the chest portion of the thymus is removed through Transverse (horizontal) incision across the lower neck. This technique is combined with 3 and a half gland or total parathyroidectomy in multiglandular involvement or in multiple endocrine neoplasia type 1.

The neurological indications of a thymectomy is in myasthenia gravis where significant improvement in the patient’s weakness, reduction in the medications, and eventually a complete elimination of all weakness & off all medications.
Endoscopic Parathyroidectomy In this Surgery, surgeon will make two or three small incision in the front of your neck and one above the top of your breastbone. This reduces visible scarring, pain, and recovery time. This cut is less than 2 cm long. The procedure to remove any diseased parathyroid glands is similar to video-assisted parathyroidectomy.
Parathyroid autotransplantation This involves taking parathyroid tissue and placing it into the muscle of either the neck or forearm This is usually done prophylactically in thyroid surgeries especially thyroid cancer and in cases of secondary hyperparathyroidism or re-operative thyroid & parathyroid surgery as in multiple endocrine neoplasia type 1..

If some of the tissue has to be removed, this can be done very safely under local anesthesia without the risks of reoperating in the neck.
Endocrine and Speciality Clinic
Apollo Speciality Hospitals
Vijaya Hospitals
Sooriya Hospitals
Kauvery Hospital
New Hope Hospital

Fix Appointment
Breast lump excision
Transcervical thymectomy
Enucleation of Insulinoma