General Surgery

ORBE specialists can provide the following surgical treatments and options for their patients:

  • Hernia surgery – including laparoscopic and open, inguinal, incisional, femoral and umbilical
  • Gallstone surgery (cholecystectomy)
  • Appendicectomy
  • Skin cancer surgery – including skin grafts and sentinel node biopsy
  • Biopsy procedures – including lymph node biopsy, muscle biopsy, skin biopsy
  • Central Catheter access (Portacath insertion and removal)
  • Acute general surgical management – bowel obstructions, diverticulitis, pancreatitis

Conditions treated

Thyroid cancer comes in five primary types:

  • Papillary carcinoma – the most common type of thyroid cancer, making up 75-80% of cases.
  • Follicular thyroid cancer – the second most common type. Together with papillary carcinoma, they account for about 95% of all thyroid cancer cases.
  • Hürthle cell carcinoma – a variant of follicular thyroid cancer which develops from a certain type of follicular cell. It is more likely to spread to the lymph nodes than other thyroid cancers.
  • Medullary thyroid carcinoma – this is the third most common type of thyroid cancer, making up about 3% of cases.
  • Anaplastic thyroid carcinoma – this rarer type accounts for about 1% of all thyroid cancers, but is responsible for 20-50% of all thyroid cancer deaths.

With treatment, the 5-year survival rate for thyroid cancer is about 97%. Treatment for thyroid cancer will most often involve removing part or all of the thyroid gland. This may take place in conjunction with other therapies or treatments.

As the thyroid produces an essential hormone, you may also notice the symptoms of having too much or too little thyroid hormone in your body. These may include:

To confirm the diagnosis of a thyroid condition, a series of tests will often be performed. These may include blood tests to assess your levels of thyroid hormone or an ultrasound to assess the size and shape of your thyroid.

A thyroidectomy may be performed to remove the entire thyroid. This is done under a general anaesthetic. Following a total thyroidectomy, thyroxine tablets are required for life to replace the hormones that the thyroid is no longer producing.

If a total thyroidectomy is not necessary, a hemithyroidectomy or thyroid lobectomy may be performed instead. This removes half of the thyroid gland, allowing it to continue producing hormones. The operation is generally shorter with less recovery time, and most patients do not need thyroxine tablets afterwards.

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