SPECIALIST SURGICAL CARE
Endocrine Surgery in Lebanon Thyroid, Parathyroid & Adrenal Surgery
Dr. Joseph Gharios provides specialized endocrine surgery in Lebanon for disorders affecting the thyroid, parathyroid, and adrenal glands.
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Care begins with clinical evaluation, laboratory testing, imaging, and review of the patient's diagnosis to determine whether surgery—or a non-surgical option—is appropriate.
Thyroid Surgery
Thyroid surgery in Lebanon may be recommended for thyroid cancer, suspicious or symptomatic thyroid nodules, goiter, hyperthyroidism, and other thyroid conditions requiring surgical management.
Procedures include:
- Total thyroidectomy
- Hemithyroidectomy or lobectomy
- Completion thyroidectomy
Particular attention is given to preserving the recurrent laryngeal nerves and parathyroid glands, helping protect voice function and calcium regulation.
Radiofrequency Ablation for Thyroid Nodules
Radiofrequency ablation (RFA) offers a minimally invasive option for selected benign thyroid nodules.
Under ultrasound guidance, thermal energy is used to reduce the volume of the nodule while preserving surrounding thyroid tissue. RFA may be considered for appropriately evaluated patients with symptomatic or cosmetically concerning benign nodules.
Parathyroid Surgery
Parathyroid surgery is commonly performed for primary hyperparathyroidism, often caused by a parathyroid adenoma.
Treatment may include focused minimally invasive parathyroidectomy, supported by intraoperative PTH monitoring when indicated to assess the biochemical response during surgery.
Adrenal Surgery
Adrenal surgery may be required for hormonally active adrenal tumors, suspicious adrenal masses, or other adrenal conditions with a surgical indication.
Laparoscopic adrenalectomy may be used in suitable cases to provide minimally invasive access.
Key Principles
- Evidence-based surgical indications
- Preservation of nerve and gland function
- Intraoperative safety technologies when indicated
- Minimally invasive treatment when appropriate
- Individualized treatment planning
Frequently Asked Questions
Does every thyroid nodule require surgery?
No. Many thyroid nodules can be monitored. Surgery or RFA depends on factors such as biopsy results, symptoms, size, growth, imaging characteristics, and individual risk.
Can thyroid surgery affect the voice?
The recurrent laryngeal nerves are closely related to the thyroid gland. Careful identification and preservation of these nerves are therefore an important part of thyroid surgery.
Can a thyroid nodule be treated without surgery?
Selected benign thyroid nodules may be suitable for radiofrequency ablation after appropriate evaluation.