HEAD & NECK SURGERY
Thyroidectomy
A thyroidectomy is an operation to remove all, or part, of the thyroid gland. It's used to treat several conditions, including overactive thyroid (hyperthyroidism).
Parathyroidectomy
There are four parathyroid glands in the neck, but most people with this disease (parathyroidism), have only one enlarged gland. The presenting symptoms are usually caused by having too much calcium, i.e. Kidney stones.
Salivary Glands Surgery
The salivary glands make saliva which is important in the breaking down of the food that you eat. There are three pairs of glands that make saliva. Saliva into the mouth from these glands down short tubes (ducts).
Thyroidectomy
Thyroidectomy
Overview
A thyroidectomy is an operation to remove all, or part, of the thyroid gland. If all of your thyroid gland is removed, it's called a total thyroidectomy. If only part of it is removed, it's called a partial thyroidectomy, a sub-total thyroidectomy or a lobectomy. The thyroid is a butterfly shaped gland at the base of the neck responsible for producing a hormone that regulates numerous metabolic processes.
Indications
A thyroidectomy is done to treat conditions affecting the thyroid such as hyperthyroidism (an overactive thyroid gland), a goiter, thyroid nodules or thyroid cancer.
What happens during a thyroidectomy?
The operation is done under general anaesthesia.
What to expect after surgery
After the surgery, you may have some pain and stiffness in your neck. You expect to have a sore, hoarse throat for the next few days. You will be discharged from the hospital in a day or two.

You may have a drain placed in your incision to help with healing, but this will be removed before you are discharged. You can expect to return to your day-to-day routine in a week or two of surgery. If a total thyroidectomy was done, medication may be needed to replace your thyroid hormone.
Parathyroidectomy
Parathyroidectomy
Overview
A parathyroidectomy is surgery done to remove the parathyroid glands. The parathyroid glands consist of four individual glands attached to the back of the thyroid gland in your neck. These glands regulate the amount of calcium in your blood. When diseased they may cause too much parathyroid hormone (PTH), leading to excess calcium in the bloodstream. This condition is known as hypercalcemia.
Indications
A parathyroidectomy is done to treat hyperparathyroidism as a cause of hypercalcemia, an excessive amount of calcium in the bloodstream. A parathyroidectomy may also be done to remove enlarged parathyroid glands (parathyroid hyperplasia) or to remove a parathyroid tumor.
What happens during a parathyroidectomy?
A very small amount of radioactive tracer may be injected into your bloodstream before surgery. This will help your surgeon highlight the diseased glands. You will receive general anaesthesia for this procedure.

Once asleep he will make a small incision in the centre of your neck. The muscles of the neck and the thyroid gland are moved to the side to gain access to the parathyroid glands at the back of the neck. Once the diseased parathyroid glands are located, Dr Heyns will remove them.

In cases where all four parathyroid glands are to be removed, part of one is transplanted into the front of your neck next to the thyroid gland or into the forearm. This helps ensure your body's calcium level stays at a healthy level.
What to expect after surgery
After surgery you can expect some mild pain near the incisions but painkillers will be prescribed to ease your discomfort. You will need to stay in the hospital for observation for the next day or two, during which time your calcium levels will be monitored closely. You can expect to be back to your normal routine within the next week or two. As a precaution, your blood calcium and PTH levels will be monitored for the next 6 months.
Salivary Glands Surgery
The salivary glands make saliva which is important in the breaking down of the food that you eat. There are three pairs of glands that make saliva. Saliva into the mouth from these glands down short tubes (ducts).
Click on the sections here above for more details
Thyroidectomy
Overview
A thyroidectomy is an operation to remove all, or part, of the thyroid gland. If all of your thyroid gland is removed, it's called a total thyroidectomy. If only part of it is removed, it's called a partial thyroidectomy, a sub-total thyroidectomy or a lobectomy. The thyroid is a butterfly shaped gland at the base of the neck responsible for producing a hormone that regulates numerous metabolic processes.
Indications
A thyroidectomy is done to treat conditions affecting the thyroid such as hyperthyroidism (an overactive thyroid gland), a goiter, thyroid nodules or thyroid cancer.
What happens during a thyroidectomy?
The operation is done under general anaesthesia.
What to expect after surgery
After the surgery, you may have some pain and stiffness in your neck. You expect to have a sore, hoarse throat for the next few days. You will be discharged from the hospital in a day or two.

You may have a drain placed in your incision to help with healing, but this will be removed before you are discharged. You can expect to return to your day-to-day routine in a week or two of surgery. If a total thyroidectomy was done, medication may be needed to replace your thyroid hormone.
Parathyroidectomy
Overview
A parathyroidectomy is surgery done to remove the parathyroid glands. The parathyroid glands consist of four individual glands attached to the back of the thyroid gland in your neck. These glands regulate the amount of calcium in your blood. When diseased they may cause too much parathyroid hormone (PTH), leading to excess calcium in the bloodstream. This condition is known as hypercalcemia.
Indications
A parathyroidectomy is done to treat hyperparathyroidism as a cause of hypercalcemia, an excessive amount of calcium in the bloodstream. A parathyroidectomy may also be done to remove enlarged parathyroid glands (parathyroid hyperplasia) or to remove a parathyroid tumor.
What happens during a parathyroidectomy?
A very small amount of radioactive tracer may be injected into your bloodstream before surgery. This will help your surgeon highlight the diseased glands. You will receive general anaesthesia for this procedure.

Once asleep he will make a small incision in the centre of your neck. The muscles of the neck and the thyroid gland are moved to the side to gain access to the parathyroid glands at the back of the neck. Once the diseased parathyroid glands are located, Dr Heyns will remove them.

In cases where all four parathyroid glands are to be removed, part of one is transplanted into the front of your neck next to the thyroid gland or into the forearm. This helps ensure your body's calcium level stays at a healthy level.
What to expect after surgery
After surgery you can expect some mild pain near the incisions but painkillers will be prescribed to ease your discomfort. You will need to stay in the hospital for observation for the next day or two, during which time your calcium levels will be monitored closely. You can expect to be back to your normal routine within the next week or two. As a precaution, your blood calcium and PTH levels will be monitored for the next 6 months.
ROBOTIC SURGERY
Dr Michael Heyns
PRACTICE
ADDRESS
Suite M27, Second Floor,
Netcare Pretoria East Hospital,
Cnr Garsfontein & Netcare Roads,
Moreleta Park,
Pretoria



MON - THUR: 08:00 - 16:00
FRIDAY: 08:00 - 16:00
APPOINTMENTS & INFORMATION
+27(0)12 993 1160

+27(0)12 993 3986


Lynette van der Merwe
drheyns.lynette@gmail.com
(Nurse, theatre lists)

Amanda Jooste
drheyns.amanda@gmail.com
(Gastroscopies and Colonoscopies)

Hannelie Murray
drheyns.hannelie@gmail.com
(Appointments)
ACCOUNTS & PRACTICE MANAGER
Dalene van Zyl
+27(0)12 993 3121
+27(0)12 993 3986
drheyns.dalene@gmail.com
(Practice manager and finance)


MEDICAL NURSE
Lena Meintjies
+27(0)12 993 1160
+27(0)12 993 3986
(Endoscopic nurse)
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