{"id":17781,"date":"2026-10-20T19:23:44","date_gmt":"2026-10-20T16:23:44","guid":{"rendered":"https:\/\/bak.lt\/paslaugos\/endocrine-surgery\/"},"modified":"2026-10-20T19:23:44","modified_gmt":"2026-10-20T16:23:44","slug":"endocrine-surgery","status":"publish","type":"paslaugos","link":"https:\/\/bak.lt\/en\/services\/endocrine-surgery\/","title":{"rendered":"Endocrine surgery"},"content":{"rendered":"\n<style>\n.bak-service-content{font-family:inherit;color:inherit;line-height:1.7}\n.bak-service-content *{box-sizing:border-box}\n.bak-service-content .bak-intro{background:#F1F4EF;border-left:4px solid #5E7053;padding:28px 30px;margin:0 0 42px}\n.bak-service-content .bak-intro>p{font-size:18px;line-height:1.65;margin:0 0 16px}\n.bak-service-content .bak-benefits{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:26px 34px;margin-top:30px}\n.bak-service-content .bak-benefit{border-top:2px solid #5E7053;padding:15px 8px 0 0}\n.bak-service-content .bak-benefit strong{display:block;font-weight:600;line-height:1.4;margin-bottom:7px}\n.bak-service-content .bak-benefit p{margin:0;line-height:1.55}\n.bak-service-content section{margin:0 0 46px}\n.bak-service-content h2{margin:0 0 20px}\n.bak-service-content h3{margin:28px 0 12px}\n.bak-service-content p{margin:0 0 18px}\n.bak-service-content ul{list-style:none;margin:20px 0 22px;padding:0}\n.bak-service-content li{position:relative;padding-left:25px;margin:0 0 14px}\n.bak-service-content li::before{content:\"\u2013\";position:absolute;left:0;top:0;color:#5E7053;font-weight:700}\n.bak-service-content .bak-operation-types{margin-top:26px}\n.bak-service-content .bak-operation-types details{border:1px solid #D9DED6;border-left:3px solid #5E7053;margin-bottom:14px;background:#fff}\n.bak-service-content .bak-operation-types summary{position:relative;display:block;padding:20px 52px 20px 22px;cursor:pointer;font-weight:600;line-height:1.45;list-style:none}\n.bak-service-content summary::-webkit-details-marker{display:none}\n.bak-service-content .bak-operation-types summary::after,.bak-service-content .bak-faq summary::after{content:\"+\";position:absolute;right:20px;top:50%;transform:translateY(-50%);font-size:27px;font-weight:400;line-height:1;color:#5E7053}\n.bak-service-content .bak-operation-types details[open]>summary{background:#F1F4EF}\n.bak-service-content .bak-operation-types details[open]>summary::after,.bak-service-content .bak-faq details[open]>summary::after{content:\"\u2212\"}\n.bak-service-content .bak-operation-types summary:hover{background:#F1F4EF}\n.bak-service-content summary:focus-visible{outline:2px solid #5E7053;outline-offset:2px}\n.bak-service-content .bak-operation-body{padding:22px 24px 24px;border-top:1px solid #D9DED6}\n.bak-service-content .bak-operation-body p:last-child,.bak-service-content .bak-operation-body ul:last-child{margin-bottom:0}\n.bak-service-content .bak-faq{margin-top:24px}\n.bak-service-content .bak-faq details{border-bottom:1px solid #D9DED6;padding-bottom:22px;margin-bottom:22px}\n.bak-service-content .bak-faq summary{position:relative;display:block;cursor:pointer;font-weight:600;line-height:1.5;padding:4px 40px 4px 0;list-style:none}\n.bak-service-content .bak-faq summary::after{right:4px}\n.bak-service-content .bak-faq-answer{padding:18px 38px 0 0}\n.bak-service-content .bak-faq-answer p:last-child{margin-bottom:0}\n.bak-service-content .bak-note{margin:26px 0;padding:20px 24px;background:#F7F8F6;border-left:3px solid #5E7053}\n.bak-service-content .bak-note p{margin:0}\n.bak-service-content .bak-price{background:#F1F4EF;padding:26px 30px;margin-bottom:0}\n.bak-service-content .bak-price p:last-child{margin-bottom:0}\n@media(max-width:767px){\n.bak-service-content .bak-intro,.bak-service-content .bak-price{padding:22px 20px}\n.bak-service-content .bak-intro>p{font-size:inherit}\n.bak-service-content .bak-benefits{display:block;margin-top:25px}\n.bak-service-content .bak-benefit{padding:13px 0 0;margin-bottom:20px}\n.bak-service-content section{margin-bottom:36px}\n.bak-service-content .bak-operation-types summary{padding:17px 45px 17px 17px}\n.bak-service-content .bak-operation-types summary::after{right:16px}\n.bak-service-content .bak-operation-body{padding:19px 18px 22px}\n.bak-service-content .bak-faq details{padding-bottom:18px;margin-bottom:18px}\n.bak-service-content .bak-faq-answer{padding-right:0}\n}\n<\/style>\n<div class=\"bak-service-content\">\n\n  <!-- INTRO AND BENEFITS -->\n  <div class=\"bak-intro\">\n    <p>Baltic American Clinic performs thyroid operations to treat thyroid nodules, suspicious or malignant growths, an enlarged thyroid gland and certain other thyroid diseases. Depending on the diagnosis, one lobe of the thyroid or the whole thyroid gland may be removed. Whether surgery is needed and how extensive it should be is decided individually, taking into account your symptoms, diagnostic test results and general state of health.<\/p>\n\n    <div class=\"bak-benefits\">\n      <div class=\"bak-benefit\">\n        <strong>Individual treatment plan<\/strong>\n        <p>Based on your diagnosis, test results and state of health.<\/p>\n      <\/div>\n      <div class=\"bak-benefit\">\n        <strong>Monitoring of laryngeal nerve function<\/strong>\n        <p>During the operation, when intraoperative neuromonitoring is used.<\/p>\n      <\/div>\n      <div class=\"bak-benefit\">\n        <strong>Inpatient care after surgery<\/strong>\n        <p>Post-operative monitoring and nursing in the clinic&#8217;s inpatient ward.<\/p>\n      <\/div>\n      <div class=\"bak-benefit\">\n        <strong>Continuous care<\/strong>\n        <p>From preparation for surgery to recovery and follow-up tests.<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n\n  <!-- OPERATIONS -->\n  <section>\n    <h2>Which endocrine surgery operations are performed?<\/h2>\n\n    <div class=\"bak-operation-types\">\n\n      <details>\n        <summary>Removal of one thyroid lobe (lobectomy)<\/summary>\n        <div class=\"bak-operation-body\">\n          <p>Thyroid lobectomy is an operation in which one lobe of the thyroid gland is removed. This treatment may be chosen when the disease or growth is confined to one side of the thyroid and there is no need to remove the whole gland.<\/p>\n\n          <p><strong>When may surgery be needed?<\/strong><\/p>\n          <ul>\n            <li>When a thyroid nodule is large, growing or causing symptoms.<\/li>\n            <li>When a thyroid growth raises suspicion of malignancy.<\/li>\n            <li>When a growth in one lobe presses on the surrounding tissues and makes swallowing or breathing difficult.<\/li>\n            <li>When a disease of one thyroid lobe is found for which surgical treatment is recommended.<\/li>\n          <\/ul>\n\n          <p><strong>How is the operation performed?<\/strong><\/p>\n          <p>During the operation the surgeon removes one lobe of the thyroid. Depending on the diagnosis, the isthmus \u2013 the part of the tissue connecting the two lobes \u2013 may also be removed.<\/p>\n          <p>During surgery it is important to protect the laryngeal nerves next to the thyroid, which help control the movement of the vocal cords, and to preserve the function of the parathyroid glands.<\/p>\n          <p>When intraoperative neuromonitoring is used, the function of the laryngeal nerves is monitored during the operation. This technology helps the surgeon to identify the nerves and assess how they are working.<\/p>\n\n          <p><strong>What to expect after the operation?<\/strong><\/p>\n          <p>In the first days there may be a feeling of tightness, tenderness or mild pain in the neck. Sometimes there is temporary hoarseness or discomfort when swallowing.<\/p>\n          <p>After one lobe of the thyroid is removed, the remaining lobe can in some cases produce enough hormones. However, some patients may need thyroid hormone replacement therapy.<\/p>\n          <p>After the operation thyroid function is assessed and, if needed, further treatment is adjusted.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>Thyroidectomy \u2013 removal of the thyroid gland<\/summary>\n        <div class=\"bak-operation-body\">\n          <p>Thyroidectomy is a surgical operation in which all or part of the thyroid gland is removed. The exact extent of the operation depends on the disease diagnosed.<\/p>\n          <p>When the whole thyroid is removed, the operation is called a total thyroidectomy.<\/p>\n\n          <p><strong>When may surgery be needed?<\/strong><\/p>\n          <ul>\n            <li>When thyroid cancer is diagnosed or, in certain cases, a malignant disease is suspected.<\/li>\n            <li>When there are many nodules in the thyroid and its enlargement causes symptoms.<\/li>\n            <li>When an enlarged thyroid presses on the trachea, oesophagus or surrounding tissues.<\/li>\n            <li>When certain disorders of thyroid hormone production cannot be adequately controlled by other treatments.<\/li>\n            <li>When other medical indications for surgical treatment are found.<\/li>\n          <\/ul>\n\n          <p><strong>How is the operation performed?<\/strong><\/p>\n          <p>During the operation the planned part of the thyroid or the whole gland is removed. The surgeon carefully separates the thyroid from the surrounding anatomical structures, especially the laryngeal nerves and the parathyroid glands.<\/p>\n          <p>When intraoperative neuromonitoring is used, it helps to identify the laryngeal nerves and monitor their function.<\/p>\n          <p>The removed tissue is sent for histological examination. Its results help to confirm the diagnosis and determine whether further treatment is needed.<\/p>\n\n          <p><strong>What to expect after the operation?<\/strong><\/p>\n          <p>After the operation there may be pain or tightness in the neck, discomfort when swallowing or temporary hoarseness.<\/p>\n          <p>When the whole thyroid is removed, the body no longer produces thyroid hormones, so lifelong replacement therapy with levothyroxine is necessary.<\/p>\n          <p>Blood calcium levels are also monitored, because after the operation the function of the parathyroid glands may be impaired temporarily or, less often, for a long time.<\/p>\n          <p>Further care depends on the reason for the operation, the results of the histological examination and the hormone levels in the blood.<\/p>\n        <\/div>\n      <\/details>\n\n    <\/div>\n  <\/section>\n\n  <!-- PREPARATION -->\n  <section>\n    <h2>How to prepare for endocrine surgery<\/h2>\n\n    <p>Before the operation the surgeon assesses your diagnosis, symptoms, thyroid function, diagnostic test results and general state of health.<\/p>\n\n    <ul>\n      <li><strong>Thyroid tests.<\/strong> If needed, a thyroid ultrasound, hormone tests, fine-needle aspiration biopsy and other tests needed to confirm the diagnosis are performed.<\/li>\n      <li><strong>Hormone balance.<\/strong> If the thyroid produces too much or too little hormone, treatment may need to be adjusted before the operation.<\/li>\n      <li><strong>Medicines.<\/strong> Tell the doctor about all the medicines and food supplements you take, especially those that affect blood clotting.<\/li>\n      <li><strong>Chronic conditions and allergies.<\/strong> Tell us about any conditions, allergies and previous reactions to anaesthesia.<\/li>\n      <li><strong>Voice changes.<\/strong> If you have hoarseness or other voice problems before the operation, be sure to tell the surgeon. If needed, an assessment of vocal cord function may be recommended.<\/li>\n      <li><strong>Food and drink.<\/strong> Follow the doctor&#8217;s instructions about eating and drinking before anaesthesia.<\/li>\n      <li><strong>Getting home.<\/strong> Arrange for someone to accompany you if you will not be able to drive or will need help after the operation.<\/li>\n    <\/ul>\n\n    <div class=\"bak-note\">\n      <p><strong>Important:<\/strong> do not stop prescribed medicines on your own. Any changes to them before the operation must be agreed with the doctor.<\/p>\n    <\/div>\n  <\/section>\n\n  <!-- ANAESTHESIA -->\n  <section>\n    <h2>Anaesthesia during the operation<\/h2>\n\n    <p>Thyroid operations are usually performed under general anaesthesia.<\/p>\n    <p>Under anaesthesia you are asleep and feel no pain. During the operation the anaesthetist monitors your breathing, heart activity, blood pressure and other vital signs.<\/p>\n    <p>If intraoperative neuromonitoring of the laryngeal nerves is planned, the anaesthesia method is adapted to the requirements of this technology.<\/p>\n    <p>Before the operation the anaesthetist assesses your state of health and discusses the preparation and possible risks with you.<\/p>\n  <\/section>\n\n  <!-- INPATIENT CARE -->\n  <section>\n    <h2>Inpatient stay and care after the operation<\/h2>\n\n    <p>After thyroid surgery, your well-being, vital signs, the condition of the operated area and possible signs of post-operative bleeding are monitored in the inpatient ward of Baltic American Clinic.<\/p>\n    <p>Particular attention is paid to breathing, the voice and calcium metabolism, because the laryngeal nerves and the parathyroid glands lie next to the thyroid.<\/p>\n    <p>Depending on the extent of the operation, blood tests for calcium and other parameters may be performed.<\/p>\n    <p>The length of inpatient care depends on the type of operation, your general state of health and the course of recovery.<\/p>\n    <p>Before you leave, you are given advice on:<\/p>\n\n    <ul>\n      <li>Care of the surgical wound.<\/li>\n      <li>Taking medicines and pain control.<\/li>\n      <li>Thyroid hormone replacement therapy, if needed.<\/li>\n      <li>Taking calcium supplements, if prescribed.<\/li>\n      <li>Physical activity and neck movements.<\/li>\n      <li>Returning to work.<\/li>\n      <li>Follow-up visits and laboratory tests.<\/li>\n      <li>Signs that require you to seek medical help immediately.<\/li>\n    <\/ul>\n  <\/section>\n\n  <!-- RECOVERY -->\n  <section>\n    <h2>Recovery after endocrine surgery<\/h2>\n\n    <p>The length of recovery depends on the extent of the operation, your general state of health and individual characteristics of the body.<\/p>\n\n    <p><strong>After thyroid lobectomy<\/strong> there may be tightness or tenderness in the neck or discomfort when swallowing in the first days. Hormone production by the remaining thyroid lobe is assessed with blood tests.<\/p>\n\n    <p><strong>After removal of the whole thyroid<\/strong> it is necessary to start or continue the hormone replacement therapy prescribed by the doctor. The dose is adjusted according to laboratory test results.<\/p>\n\n    <p><strong>Voice changes.<\/strong> After the operation there is sometimes temporary hoarseness, a weak voice or a voice that tires more quickly. These symptoms usually ease gradually, but in rare cases voice problems may last longer.<\/p>\n\n    <p><strong>Changes in calcium levels.<\/strong> After thyroid surgery the level of calcium in the blood may fall. This may show as tingling in the fingers, lips or face, or muscle cramps. You must tell the doctor about such symptoms.<\/p>\n\n    <p><strong>Healing of the surgical wound.<\/strong> Some swelling, tightness or tenderness may remain in the neck. The scar changes and fades gradually.<\/p>\n\n    <div class=\"bak-note\">\n      <p><strong>Important:<\/strong> if after the operation the swelling in your neck suddenly increases, breathing becomes difficult, there is heavy bleeding or marked muscle spasms, seek emergency medical help immediately.<\/p>\n    <\/div>\n  <\/section>\n\n  <!-- FAQ -->\n  <section>\n    <h2>Frequently asked questions<\/h2>\n\n    <div class=\"bak-faq\">\n\n      <details>\n        <summary>Do all thyroid nodules need surgery?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>No. Most thyroid nodules are benign and can be monitored. Surgery is considered when a nodule raises suspicion of malignancy, is growing, causes pressure symptoms or other medical indications are found.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>What is the difference between thyroid lobectomy and thyroidectomy?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>In a lobectomy one lobe of the thyroid is removed. Thyroidectomy is a more general name for thyroid removal surgery, and in a total thyroidectomy the whole thyroid is removed.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>Is a biopsy required before thyroid surgery?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>Not in every case. Whether a biopsy is needed depends on the size of the nodule, its ultrasound features, the clinical situation and other factors. The test plan is set by the doctor.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>Will I need to take hormones after one thyroid lobe is removed?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>Not always. In some patients the remaining lobe can produce enough hormones. However, some people develop hypothyroidism, so hormone levels are monitored after the operation.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>Can I live a normal life after the whole thyroid is removed?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>Yes. With a correctly chosen dose of levothyroxine replacement therapy and regular monitoring of hormone levels, most patients can live a normal life.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>Can thyroid surgery affect the voice?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>Yes. The laryngeal nerves, which help control the vocal cords, run next to the thyroid. Temporary hoarseness is possible after the operation and, in rare cases, long-term impairment of voice function.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>What is intraoperative neuromonitoring?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>It is a technology that makes it possible to identify nerves and monitor their function during an operation. In thyroid surgery it is used to assess the function of the laryngeal nerves. Neuromonitoring helps the surgeon, but it does not completely eliminate the risk of nerve damage.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>Will there be a scar after thyroid surgery?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>A conventional open thyroid operation leaves a surgical scar at the front of the neck. Its size depends on the extent of the operation and individual anatomical features. Over time the scar usually becomes less noticeable.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>Why can blood calcium levels fall after thyroid surgery?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>The parathyroid glands next to the thyroid regulate calcium metabolism. After the operation their function may be temporarily impaired, so the level of calcium in the blood sometimes falls.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>When can I return to work after thyroid surgery?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>This depends on the extent of the operation, the course of recovery and the type of work. It is often possible to return to lighter work sooner than to heavy physical work. The doctor gives individual advice.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>Is follow-up by an endocrinologist needed after thyroid removal?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>Yes, especially if the whole thyroid has been removed or hormone replacement therapy is needed. The endocrinologist monitors hormone levels, adjusts medicine doses and assesses your long-term health.<\/p>\n        <\/div>\n      <\/details>\n\n      <details>\n        <summary>When should I seek urgent help after thyroid surgery?<\/summary>\n        <div class=\"bak-faq-answer\">\n          <p>Seek medical help immediately if the swelling in your neck suddenly increases, you find it hard to breathe, there is heavy bleeding, marked muscle spasms or any other sudden change in your health.<\/p>\n        <\/div>\n      <\/details>\n\n    <\/div>\n  <\/section>\n\n  <!-- PRICE \u2013 LAST BLOCK -->\n  <section class=\"bak-price\">\n    <h2>Price of endocrine surgery<\/h2>\n\n    <p>Prices of endocrine surgery operations are set according to Baltic American Clinic&#8217;s current price list.<\/p>\n\n    <p>The final price depends on the type, extent and complexity of the operation, the medical supplies used and your individual state of health.<\/p>\n\n    <p><strong>Anaesthesia, inpatient care, post-operative nursing, additional tests and other services, if they are not included in the price of the operation, are charged separately according to the current price list.<\/strong><\/p>\n\n    <p>Before the operation, your individual treatment plan, the planned extent of the operation and the costs are discussed with you.<\/p>\n  <\/section>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Baltic American Clinic performs thyroid operations to treat thyroid nodules, suspicious or malignant growths, an enlarged thyroid gland and certain other thyroid diseases. Depending on the diagnosis, one lobe of the thyroid or the whole thyroid gland may be removed. Whether surgery is needed and how extensive it should be is decided individually, taking into [&hellip;]<\/p>\n","protected":false},"featured_media":16782,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false},"class_list":["post-17781","paslaugos","type-paslaugos","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/paslaugos\/17781"}],"collection":[{"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/paslaugos"}],"about":[{"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/types\/paslaugos"}],"version-history":[{"count":0,"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/paslaugos\/17781\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/media\/16782"}],"wp:attachment":[{"href":"https:\/\/bak.lt\/en\/wp-json\/wp\/v2\/media?parent=17781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}