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hemithyroidectomy

38 replies

Jodie782 · 29/08/2026 19:13

hello, I have a very large nodule on my thyroid and was put on a waiting list for surgery last year. I’ve just contacted my consultant this week as it’s been 10 months, and it’s grown so much I can barely breathe. They have just called me today to book in for an ultrasound tomorrow- I’m assuming and hoping it’s going to be soon now. I just would like to know what happens now? if anyone has any advice who have had this operation - what tests do they do before the surgery and what to expect. I’ve never had an operation before and as much as I want this thing out I am terrified!

OP posts:
UncannyToad · 31/08/2026 19:38

Jodie782 · 31/08/2026 19:27

Oh that would be absolutely amazing if this is the same for me! I’m glad it went so well for you and wasn’t cancerous! I am dreading the actual surgery I’ve never had one before.
Definitely will be bringing a bag of goodies hopefully il be able to eat after. Thank you ☺️

Tell everyone you meet ‘on the way in’ that you’ve never had surgery before, and any concerns. They’ll go above and beyond to make you feel comfortable.

Jodie782 · 31/08/2026 21:08

UncannyToad · 31/08/2026 19:38

Tell everyone you meet ‘on the way in’ that you’ve never had surgery before, and any concerns. They’ll go above and beyond to make you feel comfortable.

Thank you, I do have quite a few close friends who work there and are nurses. I definitely will be letting them know it’s my first one ever!

OP posts:
Jodie782 · 01/09/2026 22:07

ilovebrie8 · 31/08/2026 13:52

The camera up the nose is the worst thing. The op was okay.

i think I had that when I first went to ENT,
it completely shocked me, I wasn’t expecting it and he done it so quickly with out me having time to Panic!

OP posts:
Hollyhobbi · 01/09/2026 22:23

I’ve had two hemis! Although I didn’t actually go down for them at the time! Every surgery I have ends up more complicated than expected! Anyway I also have had an emergency total abdominal hysterectomy and the two hemis were a piece of cake in comparison! First hemi op was a bit more complicated as they were looking for parathyroid glands and they also took out my thymus gland. The left lobe of my thyroid was removed as it was enlarged and compressing my trachea. It also had a fairly big thyroid nodule that was a growing out of it as well. I was on stronger painkillers that time as I’ve had two DVTs and I had a drain in. The second hemi they were looking for more parathyroid glands and the right side of my thyroid was removed as it had a parathyroid embedded in it. The recovery was quite quick. Only had panadol and codeine for a few days. Had a shower the following morning just avoiding the neck area. A straw is very handy to drink with. A neck pillow is useful too. I flew to England to have the second operation and it was great on the car and plane journey back to Dublin. If you need the camera for the vocal chord check, I’ve had two of those as well! One with and one without numbing spray. Thr one without spray was the least unpleasant one!

ilovebrie8 · 02/09/2026 07:11

I had several cameras up the nose and never offered numbing spray. Think I had it at least 3 times.

It’s not pleasant but over quickly.

Hollyhobbi · 02/09/2026 11:00

ilovebrie8 · 02/09/2026 07:11

I had several cameras up the nose and never offered numbing spray. Think I had it at least 3 times.

It’s not pleasant but over quickly.

Edited

Funnily enough. The one I had spray for was a public appointment (so free in Ireland) and the one I didn’t have the spray for was private (so expensive appointment)!

UncannyToad · 03/09/2026 15:26

I didn’t even know there was a numbing spray option until friends told me they’d had it! When I went back for the follow up, I questioned the consultant about why I wasn’t offered it - apparently, I look tough 😂

pucelleauxblanchesmains · 03/09/2026 15:39

I had mine done in summer 2025 for a big toxic nodule. Like yours, it was pressing on my windpipe and causing lots of compressive symptoms. It also made me very hyperthyroid. Since the op my thyroid is mostly quite well behaved.

I had also never had surgery under a general prior to this op so I was extremely nervous. They did do the camera up the nose but they gave me midazolam for it so I was completely off my face.

The larger your nodule is, the more rummaging they will have to do. I woke up feeling like I was pleasantly tipsy. Afterwards they need to check your calcium is OK and that your parathyroids are fine too, I think this was bloods after I'd left hospital. They will biopsy it for cancer, they do for anything they remove, but I had to wait three months to be told I didn't have cancer - which tbf was apparently quite obvious from my ultrasound. They didn't do a needle biopsy for me either because either way it needed evicting.

I was in hospital for a night, once the pain kicked in it was like a really bad sore throat, but external rather than internal (if that makes sense). Was OK to be eating mousse and soup, had some sort of chicken stew rhe next day too. Then lots of soft foods at home and a v shaped pillow. Iirc I could wean myself off the painkillers quite quickly but really needed them at first.

Whether it's the anaesthetic or the surgery or the painkillers, I was shattered afterwards for a couple of weeks- take all the recommended time off work if you can. I would just be dropping off to sleep randomly (!)

Scar wise: yes, it is a big scar on your neck. Yes, it is very noticeable at first. But they try their absolute best to make it as subtle as possible and mine is nearly invisible just over a year after surgery. Get some nice scarves if you like!

Finally: voice. I sing soprano in a choir so was terrified they'd damage my vocal cords. They didn't, and I was speaking and singing pretty normally a few weeks later although I've had some voice lessons to help me recover. In the event your voice needs more help they will refer you to speech therapy with a specialist.

Edited in case relevant - you can drive as soon as you're normal levels of alert and can comfortably fully turn your head for observations. This took me approx 3 weeks to be able to turn without slight pain or jerkiness.

In summary: you WILL be fine. It is very nerve wracking but ultimately you just have to turn up and then they will take care of it all. And it feels so good to be able to swallow normally! Good luck!

twirlypoo · 03/09/2026 16:24

I had a hemi in sept 2024, I was in over night and had a drain - my tumor was 5cm so I bled quite a bit. I had several nasty infections afterwards and so was quite poorly which affected my recovery and I ended up back in hospital.

Take a pillow for the car ride home so you can support your head as speed bumps were terrifying (!) and def a v pillow and straws for afterwards.

Mine was sadly cancer so I had a total thyroidectomy in the November, and then RAI in the Easter. I have struggled with fatigue, and they also accidentally took my parathyroid glands so have needed several calcium transfusions until that was under control.

Recovery after my hemi was brutal, but the calcium and infections didn’t help. I definitely couldn’t have gone back to work 2 weeks later. That said, after my total surgery, it was a totally different recovery and I was up and about after a few days.

I’ve attached a photo of my scar now - but this is after 2 surgeries and I’m also very pale!

hemithyroidectomy
Jodie782 · 04/09/2026 06:51

pucelleauxblanchesmains · 03/09/2026 15:39

I had mine done in summer 2025 for a big toxic nodule. Like yours, it was pressing on my windpipe and causing lots of compressive symptoms. It also made me very hyperthyroid. Since the op my thyroid is mostly quite well behaved.

I had also never had surgery under a general prior to this op so I was extremely nervous. They did do the camera up the nose but they gave me midazolam for it so I was completely off my face.

The larger your nodule is, the more rummaging they will have to do. I woke up feeling like I was pleasantly tipsy. Afterwards they need to check your calcium is OK and that your parathyroids are fine too, I think this was bloods after I'd left hospital. They will biopsy it for cancer, they do for anything they remove, but I had to wait three months to be told I didn't have cancer - which tbf was apparently quite obvious from my ultrasound. They didn't do a needle biopsy for me either because either way it needed evicting.

I was in hospital for a night, once the pain kicked in it was like a really bad sore throat, but external rather than internal (if that makes sense). Was OK to be eating mousse and soup, had some sort of chicken stew rhe next day too. Then lots of soft foods at home and a v shaped pillow. Iirc I could wean myself off the painkillers quite quickly but really needed them at first.

Whether it's the anaesthetic or the surgery or the painkillers, I was shattered afterwards for a couple of weeks- take all the recommended time off work if you can. I would just be dropping off to sleep randomly (!)

Scar wise: yes, it is a big scar on your neck. Yes, it is very noticeable at first. But they try their absolute best to make it as subtle as possible and mine is nearly invisible just over a year after surgery. Get some nice scarves if you like!

Finally: voice. I sing soprano in a choir so was terrified they'd damage my vocal cords. They didn't, and I was speaking and singing pretty normally a few weeks later although I've had some voice lessons to help me recover. In the event your voice needs more help they will refer you to speech therapy with a specialist.

Edited in case relevant - you can drive as soon as you're normal levels of alert and can comfortably fully turn your head for observations. This took me approx 3 weeks to be able to turn without slight pain or jerkiness.

In summary: you WILL be fine. It is very nerve wracking but ultimately you just have to turn up and then they will take care of it all. And it feels so good to be able to swallow normally! Good luck!

Edited

Thank you that’s really helpful to know and good tips, I’m so glad it’s all worked for you.

OP posts:
Jodie782 · 04/09/2026 06:59

twirlypoo · 03/09/2026 16:24

I had a hemi in sept 2024, I was in over night and had a drain - my tumor was 5cm so I bled quite a bit. I had several nasty infections afterwards and so was quite poorly which affected my recovery and I ended up back in hospital.

Take a pillow for the car ride home so you can support your head as speed bumps were terrifying (!) and def a v pillow and straws for afterwards.

Mine was sadly cancer so I had a total thyroidectomy in the November, and then RAI in the Easter. I have struggled with fatigue, and they also accidentally took my parathyroid glands so have needed several calcium transfusions until that was under control.

Recovery after my hemi was brutal, but the calcium and infections didn’t help. I definitely couldn’t have gone back to work 2 weeks later. That said, after my total surgery, it was a totally different recovery and I was up and about after a few days.

I’ve attached a photo of my scar now - but this is after 2 surgeries and I’m also very pale!

I’m so sorry yours was cancer, sounds like you’ve been through the worst. I hope you’re feeling okay now? Your scar looks very faint can hardly see it.

OP posts:
naughty40me · 12/09/2026 21:39

How are you getting on OP? Pleased to say I got a call yesterday from my consultant to say its all benign! I've been very lucky indeed. Still need my post op appointment but I'm assuming that's for a blood test and to check my scar.

It was so kind of him to call, I really wasn't expecting it.

I'm still tired and back at work Monday but they're really flexible so I can WFH a lot.

I have chronic fatigue anyway so it's knocked me sideways but thank god I've been so lucky.

I hope it all goes smoothly for you. Thinking of you.

Stay positive and look after yourself.

No idea if it's relevant but I'm on Mounjaro and have diabetes. I've lost 6 stone. I was convinced I would loose weight post op due to sore throat etc...but my god I was bloody starving!

I ate a lot but maintained weight so maybe it was my healing that needed more calories?

Anyway, don't be afraid of the surgery. They will look after you. It will all be fine. 💐

Saz12 · Yesterday 16:55

Late to tge thread - but my surgery & recovery was really easy for me. I didnt have a drain, and no parathyroid damage, but surgeon removed lymph nodes at same time and "gave it all a good scrape" in his words.
Operation about 8pm, discharged mid morning. I work outside but not a wildly physical job, think I had about a week off.
Buff bands are your friend!

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