by mustafa | Mar 21, 2024 | Services
The Thyroid Gland is located in the neck and consists of two lobes, right and left.
The thyroid gland makes thyroid hormone with helps regulate the body metabolism.
Thyroid surgery is performed for reasons such as symptomatic thyroid goiter nodules, recurrent thyroid cysts, Graves’ disease, and to rule out or treat thyroid cancer.The purpose of the surgeryis to remove part or the entirethyroid.
Usually, patients will be discharged home same day or in some cases, will stay in the hospital one night to recover.
Before surgery
Before surgery you will have a pre-op exam which can include laboratory work, chest x-ray, and EKG.
Stop taking non-steroidal anti-inflammatory drugs ten days before surgery. Do not eat or drink anything after midnight the night before surgery.
The day of surgery
Arrive at the hospital at least two hours before surgery. Your family will wait in the family waiting area during surgery and will be updated on your situation by the patient representative and operating room staff. Dr. Kandil will speak to your family after the surgery is complete.
What will happen in surgery?
- You will be given general anesthesia to put you to
- You will be positioned with special pillows under your neck to tilt your head back.
- An incision is made at the base of your neck is about 3-4 inch- es long.
- The surgeon will locate the thyroid gland and associated struc- tures and all remove all or part of the thyroid.
- The incision is stitched closed and is then covered with dry
dressing.
- The surgery lasts 1-2
Risks
- Bleeding or infection which almost never happens in our experience.
- Injury to nerves
- Injury to the laryngeal nerves in the neck control the vocal cords could affect your voice. ( Routine use of nerve monitoring will help us to decrease the risk to well below 1%)
- The parathyroid glands could be injured, which would cause a drop in calcium levels (risk is also less than 1%)
After surgery
- liquid diet for dinner
- lozenges and throat spray will be provided if you experience sore throat
- pain medicine will be provided
- During your post operative clinic visit drains may be removed before you are discharged
- you will be sitting in the bed in an upright position to decrease swelling
- you will be given blood tests
- regular food the following morning
- Most patients are discharged home on the same day as surgery, however, if admitted for 23 hour observation, you will have an IV to give you fluids until the next day.
The incision
After the dressing is removed, you will see the tapes that cover the incision. Keep these in place until your follow-up visit. You may shower and wash your hair the day after surgery, but try to keep the neck area as dry as possible. If you notice any redness or drainage from the incision, contact your surgeon. After stitches are removed, use scar cream or sunscreen (SPF) of 30 to improve the appearance of the scar, or keep the scar covered the whole year. The scar may be- come raised or red, but will fade into a less noticeable thin line.
How will I feel after surgery?
Some people may be tired and a bit sore for a few days. You may experience pain from your incision as well as from muscle soreness in your upper back and shoulders. Most patients don’t require any narcotics after surgery, whoever, if needed, a prescription for pain medication will be given to you. Throat lozenges may be used for sore throat.Calcium levels may drop after surgery if you have had a thyroidectomy. You may also experience numbing and tingling of your fingers or around your mouth. You will be given instructions for taking calcium replacement if needed. If you notice a sudden swelling in your neck along your incision, call your surgeon. The swelling may be a result of hematoma (bleeding) or a seroma (collection of body fluid).
by mustafa | Mar 21, 2024 | Services
When conditions such as thyroid nodules cause discomfort and disrupt daily life, finding a safe and effective treatment becomes essential. Dr Emad Kandil, Professor and Elias Hanna Chair in Surgery, specialises in thyroid Radiofrequency Ablation (RFA), a minimally invasive procedure that reduces thyroid nodule size and alleviates symptoms.
What is Radiofrequency Ablation (RFA)?
The RFA procedure is similar to a fine-needle biopsy, involving the insertion of a thin, needle-like probe into the targeted area. The probe emits radiofrequency waves that generate heat, destroying surrounding cells. Over time, the body’s immune system naturally removes these cells, gradually shrinking the nodule. Ultrasound or other imaging techniques are used to guide the probe for precise placement.
RFA is performed under local anaesthesia, ensuring patient comfort throughout the procedure. It is an outpatient procedure, meaning you can return home the same day and resume light activities soon after.
Dr Emad Kandil, a leading expert in endocrine surgery, specialises in performing this advanced procedure, ensuring that patients receive personalised and effective care. This treatment is particularly beneficial for individuals who may not be suitable candidates for open surgery due to other medical conditions or who prefer a less invasive approach.
Benefits of Radiofrequency Ablation (RFA)
RFA provides numerous benefits for patients seeking long-term relief from discomfort. Here are some key benefits:
A Minimally Invasive Alternative to Surgery
RFA removes the need for traditional open surgery, significantly reducing surgical risks and post-operative complications.
Preserves Thyroid Function
Unlike conventional surgery, which may require partial or total thyroid removal, RFA targets only the nodule, preserving healthy thyroid tissue and lowering the likelihood of long-term hormone therapy.
Fast Recovery
Most patients can resume normal daily activities within 24 hours, with significantly less downtime than surgical procedures.
Minimal Scarring and No Incisions
RFA leaves no visible scars, as it requires only a needle puncture—unlike surgery, which often involves a neck incision.
Relief from Symptoms
By reducing thyroid nodules in size, RFA alleviates symptoms such as discomfort, difficulty swallowing, and cosmetic concerns.
A Safe and Well-Tolerated Procedure
Patients typically experience minimal discomfort during the procedure, with complications being rare when performed by experienced specialists such as Dr Emad Kandil.
Suitable for More Patients
RFA is an ideal option for patients who may not be candidates for surgery due to age, medical conditions, or a preference for a less invasive approach.
What to Expect Before, During, and After RFA?
Before undergoing RFA, Dr Emad Kandil conducts a thorough evaluation, including a fine-needle aspiration biopsy, to confirm that the thyroid nodule is benign. While RFA does not completely remove the nodule, it significantly reduces its size and alleviates symptoms over time. Patients typically experience minimal discomfort and can resume normal activities within 24 hours.
After the Procedure
After the procedure, you can expect the following:
- You will be monitored for a short period before being discharged.
- Mild discomfort at the treatment site is normal and usually subsides within a few days.
- Dr Emad Kandil provides detailed post-procedure instructions to support a smooth recovery.
Follow-Up and Ongoing Care
Regular follow-up ultrasounds are essential to monitor the size of the nodule and track ongoing improvement. In some cases, RFA may also be a suitable option for patients with small, carefully monitored cancers.
If you have symptomatic thyroid nodules and are seeking a less invasive, highly effective treatment, a consultation with Dr Emad Kandil can help determine whether RFA is the right option for you.
Why Choose Dr Emad Kandil for Radiofrequency Ablation (RFA)?
Dr Emad Kandil brings extensive experience and surgical expertise to thyroid nodule treatments.His compassionate approach ensures that every patient receives personalised care, with a focus on effective and lasting solutions. Key reasons to trust Dr. Kandil include:
- Comprehensive Expertise: As a leading surgeon in endocrine and oncological surgery, Dr Emad Kandil applies his vast knowledge to innovative thyroid treatment solutions.
- State-of-the-Art Technology: The clinic is equipped with cutting-edge imaging and treatment technologies to ensure precision and effectiveness.
- Patient-Centred Care: Dr Emad Kandil and his team prioritise your comfort, safety, and long-term well-being at every stage of your treatment.
Book Your Consultation Today
If thyroid nodules are impacting your daily life, Radiofrequency Ablation (RFA) could be the solution you have been looking for. With Dr Emad Kandil’s expertise and compassionate care, you can explore this advanced, minimally invasive treatment designed to offer lasting relief. Contact us today to book your consultation.
by mustafa | Dec 18, 2023 | Services
Ethanol ablation is a minimally invasive procedure to treat cystic and predominantly cystic thyroid nodules. Dr. Emad Kandil, Professor at Tulane Cancer Center, provides expert care in performing ablation, offering an effective alternative to surgery for eligible patients.
Schedule Your Consultation
What is Ethanol Ablation?
Ethanol ablation involves injecting a small amount of ethanol (alcohol) directly into a thyroid nodule. The ethanol shrinks the nodule and helps in killing cancer cells. This procedure is particularly effective for cystic thyroid nodules, which are fluid-filled and have a low risk of malignancy.
This procedure is preferred for patients seeking a non-surgical treatment that minimizes the impact on the thyroid gland.
Benefits of Ethanol Ablation
This method offers several advantages over traditional surgical methods:
- Minimally Invasive: It involves a small incision, reducing the risk of complications and scarring.
- Less Invasive: It allows for the treatment of conditions that might not be suitable for surgery.
- Quick Recovery: Patients often experience less pain and a shorter recovery time compared to surgery.
- Outpatient Procedure: In many cases, it can be performed on an outpatient basis, avoiding the need for hospitalization.
- Cost-Effective: It can be a more cost-effective option compared to surgery.
NB: There are reported recurrence rates, so you have to discuss with your doctor the best options to treat your case.
Who is a Candidate for Ethanol Ablation?
Ethanol ablation is a good choice for patients with cystic or predominantly cystic thyroid nodules that are causing symptoms or cosmetic concerns. It can be also recommended when surgery is not an option due to patient choice or medical conditions that increase surgical risk. Dr. Emad Kandil will conduct a thorough evaluation to determine if ethanol ablation is the right treatment option for you.
Key factors that may make someone a suitable candidate include:
- Size of the tumor or nodule.
- Location of the tumor or nodule.
- Overall health as good general health is typically required.
- Other medical conditions.
What to Expect Before, During, and After the Procedure
Before the Procedure
- Consultation: You’ll have a consultation with Dr. Emad Kandil to discuss your medical history, the procedure, and potential risks and benefits.
- Imaging: Your doctor will likely order imaging tests, such as ultrasound and CT scan, to visualize the target tissue.
- Preparation: You may be asked to fast or avoid certain medications before the procedure.
During the Procedure
- Sedation: You will receive sedation to help you relax during the procedure.
- Imaging guidance: The doctor will use imaging techniques to guide the needle to the target tissue.
- Needle insertion: A thin needle will be inserted into the target tissue.
- Ethanol injection: Ethanol will be injected into the tissue, destroying the abnormal cells.
- Monitoring: The procedure will be monitored closely to ensure its safety and effectiveness.
After the Procedure
- Observation: You may be monitored in a recovery room for a short time.
- Pain management: You may be given pain medication to manage any discomfort.
- Follow-up: Your doctor will schedule follow-up appointments to monitor your recovery and the effectiveness of the treatment.
Why Choose Dr. Emad Kandil for Ethanol Ablation?
Dr. Emad Kandil is a leading expert in thyroid care, offering advanced treatments like ethanol ablation to provide patients with the best possible outcomes. His approach combines:
- Expertise: Extensive experience in treating thyroid conditions with minimally invasive techniques.
- Cutting-Edge Technology: Utilizes the latest advancements in ultrasound-guided procedures.
- Patient-Centered Care: Ensures personalized treatment plans that align with each patient’s unique needs and preferences.
Contact Dr. Emad Kandil today for a consultation and discuss your personalized treatment plan.
Schedule Your Consultation
by mustafa | Dec 18, 2023 | Services
Microwave ablation has been reported to have an excellent results in ablation of thyroid masses. Please discuss with Dr. Kandil your option of using microwave ablation instead of RFA.
by mustafa | Dec 18, 2023 | Services
Dr. Kandil perfomed over 5000 endocrine surgery procedures and over 1000 robotic surgeries.
by mustafa | Dec 18, 2023 | Services
If you’re considering adrenal surgery, understanding your options and selecting the right surgeon is crucial to your treatment journey. Dr. Emad Kandil specializes in adrenal surgery, using advanced minimally invasive techniques that focus on optimizing both your health outcomes and recovery comfort.
What is Adrenal Surgery?
Adrenal surgery involves the removal of one or both adrenal glands, small yet vital organs situated above your kidneys.This procedure becomes necessary when tumors form or the glands produce excessive hormones.Dr. Kandil performs adrenal tumor surgery using advanced techniques designed to minimize recovery time and maximize results.
Indications for Adrenal Surgery
Adrenal gland removal surgery is recommended for certain conditions, including:
Adrenal Tumors
Both benign and malignant tumors can interfere with normal hormone production and cause significant complications.
Pheochromocytomas
Rare tumors of the adrenal glands that produce excess adrenaline, leading to high blood pressure and other cardiovascular risks.
Cushing’s Syndrome
Caused by the overproduction of cortisol, this condition can result in weight gain, high blood sugar, and other metabolic issues.
Aldosteronomas
Tumors that result in the excessive production of aldosterone, affecting blood pressure and electrolyte balance.
Adrenal Gland Hyperplasia
Enlargement of the adrenal glands, often requiring surgical intervention to manage symptoms effectively.
Advanced Techniques in Adrenal Gland Surgery
Dr. Emad Kandil is committed to offering the most advanced, minimally invasive adrenal removal surgery techniques, ensuring optimal results and minimal recovery time. His expertise encompasses two leading-edge surgical methods: laparoscopic surgery and robotic surgery. Both approaches offer significant advantages over traditional open surgery, ensuring better outcomes and a smoother recovery for patients. .
Laparoscopic Adrenal Surgery
Laparoscopic adrenal surgery is a minimally invasive procedure involving small incisions and specialized instruments to remove adrenal tumors or glands. This approach offers several benefits, including:
- Shorter Hospital Stays: Most patients can leave the hospital the day after surgery thanks to smaller incisions and reduced trauma.
- Faster Recovery: Patients can return to normal activities sooner, with minimal impact on surrounding tissues.
- Minimal Scarring: Smaller incisions result in less visible scarring, improving cosmetic outcomes.
- Reduced Pain: Less invasive techniques result in less pain and a quicker recovery.
- Lower Complications: Laparoscopic surgery reduces the risk of infections, hernias, and other complications when compared to open surgery.
Robotic Adrenal Surgery
Robotic adrenal surgery is an advanced technique that uses robotic-assisted tools for precise and controlled procedures.This technique offers several advantages:
- Precise Surgical Control: Robotic arms offer unmatched precision, ensuring the accurate removal of adrenal tumors with minimal damage to surrounding tissues.
- Enhanced Visualization: High-definition 3D visualization improves the view of the adrenal glands, aiding precise tumor removal and reducing complications.
- Smaller Incisions: Small incisions minimize tissue disruption, scarring, and post-surgery pain, similar to laparoscopic procedures.
- Better Surgical Outcomes: The advanced robotic system enhances tumor removal and reduces complications, promoting quicker recovery.
How to Prepare for Your Adrenal Surgery
Dr. Kandil’s team performs comprehensive evaluations, including:
- A detailed review of your medical history.
- Hormone level testing.
- Imaging studies.
- Personalized treatment planning.
During the Surgery
Modern adrenal tumor surgery usually takes 2 to 3 hours, depending on your individual case. Dr. Kandil’s expertise in minimally invasive techniques allows most patients to return home the following day, unlike traditional open surgery, which typically requires longer hospital stays.
Recovery and Outcomes
Following adrenal surgery, patients generally experience:
- Short hospital stays, usually just overnight.
- A quick return to daily activities.
- Minimal postoperative pain.
- Small, discreet surgical scars.
Dr. Kandil’s Approach to Adrenal Gland Surgery
What distinguishes Dr. Kandil’s approach:
- A focus on oncological outcomes.
- The use of advanced surgical technologies.
- A commitment to minimally invasive techniques.
- Tailored, personalized care plans.
- Extensive experience with complex cases.
Your Health is Our Top Priority
At Dr. Emad Kandil’s clinic, patient care extends beyond surgery. The goal is to offer personalized treatment plans that maximize oncological success while minimizing both the physical and emotional burdens on patients. Committed to advanced techniques and compassionate care, you can trust that your health is in expert hands.
Next Steps
If you’re considering adrenal surgery or have been diagnosed with an adrenal condition, Dr. Kandil’s expert team is here to support you. During your consultation, you’ll benefit from:
- A comprehensive evaluation of your condition.
- A detailed explanation of surgical options tailored to your needs.
- Clear and realistic information about recovery expectations.
- Thoughtful answers to all your questions.
- A personalized treatment plan designed specifically for you.
Your Path to Recovery
Successful adrenal surgery involves not only surgical expertise but also comprehensive aftercare. Dr. Kandil’s dedicated team offers:
- Clear and detailed recovery guidelines tailored to your needs.
- Regular follow-up appointments to ensure optimal recovery.
- Monitoring of hormone levels as needed to support your healing process.
- Long-term care planning for sustained health and well-being.
- Continuous support throughout your healing journey, ensuring peace of mind.
Schedule a Consultation with Dr. Emad Kandil
If you’re considering adrenal surgery, take the first step toward better health today. Dr. Emad Kandil and his dedicated team are ready to guide you through every stage of your treatment, offering expert care and personalized support.
