Minimally Invasive Parathyroidectomy

PARATHYROID SURGERY IN BANGLADESH

Professor Dr. S.M.G. Kibria

Focused parathyroidectomy · Same-day discharge · 35,000+ procedures

Professor Dr. SMG Kibria — Best Parathyroid Surgeon in Bangladesh
  • FRCS (England)
  • FRCS (Glasgow)
  • FRCS (Edinburgh)
  • FRCS (General)
  • MSc (Leeds)
  • MBBS (DMC)
The Procedure

What Is Parathyroid Surgery?

A modern, minimally invasive operation to cure hyperparathyroidism — restoring normal calcium and stopping bone, kidney and mood symptoms in their tracks.

Parathyroidectomy

Removing the overactive parathyroid gland

You have four parathyroid glands, each about the size of a grain of rice, sitting behind the thyroid in the neck. When one becomes overactive (an adenoma), calcium levels rise and cause kidney stones, bone thinning, fatigue and mood changes. A minimally invasive parathyroidectomy removes the diseased gland through a small targeted incision — cure rate above 95%.

  • 45–90 mins Surgery duration
  • 2–3 cm Small targeted incision
  • Same day Hospital discharge
  • 95%+ cure Long-term success
Signs & Symptoms

When You May Need Surgery

Hyperparathyroidism is often summarised as "stones, bones, abdominal groans, and psychic moans". One or more of these signs warrants assessment.

  • Kidney stones — recurrent stones are a hallmark of hyperparathyroidism.
  • Bone pain & osteoporosis — calcium leached from bone causes fractures and aches.
  • Abdominal pain — peptic ulcers, pancreatitis, or chronic indigestion.
  • Fatigue & weakness — persistent tiredness not explained by other causes.
  • Depression & brain fog — low mood, irritability, poor concentration.
  • High blood calcium — detected on a routine blood test, even without symptoms.
  • Frequent urination & thirst — from high calcium affecting kidney function.
  • Memory difficulties — subtle cognitive changes that often improve dramatically after surgery.
Surgical Techniques

Types of Parathyroid Surgery Offered

Prof. Kibria selects the most appropriate technique based on imaging findings, gland number involved, and whether you have had previous neck surgery.

01

Minimally Invasive Parathyroidectomy

Gold Standard

For single-gland disease localised on pre-operative imaging. A 2–3cm targeted incision; intra-operative PTH monitoring confirms cure before closure. Smaller scar, faster recovery, same-day discharge for most.

02

Bilateral Neck Exploration

Multi-gland Disease

When imaging is inconclusive or multiple glands are involved. All four glands are inspected and abnormal ones removed. Remains the safe, reliable fallback for complex cases.

03

Subtotal Parathyroidectomy

For Renal Cases

For secondary or tertiary hyperparathyroidism in patients with kidney disease — 3.5 of the 4 glands are removed to control bone, calcium and phosphate disturbance.

04

Re-operative Parathyroid Surgery

Complex Cases

For patients with persistent or recurrent disease after a previous failed operation. Detailed re-imaging, often supplemented by sestamibi and 4D-CT scans, guides a precise targeted re-exploration.

After Your Surgery

Recovery Timeline

Most patients are surprised by how quickly they feel better — both in terms of the small neck wound and the lifting of long-standing symptoms.

Day 0 — Operation Day

Surgery & Same-Day Discharge

45–90 minute procedure under general anaesthesia. Intra-operative PTH monitoring. Soft drink and a light meal that evening. Most patients are discharged the same night.

Days 1–3 — Home Recovery

Calcium Monitoring & Rest

Short course of calcium and vitamin D, neck comfort with simple painkillers. Bloods checked at day 1 to confirm calcium normalisation.

Days 7–10 — Wound Review

Return to Office Work

Wound review with Prof. Kibria — sutures removed, healing confirmed. Office work resumed. Many patients note improved energy already.

Weeks 2–4 — Symptom Improvement

Energy & Mood Return

Fatigue lifts, brain fog clears, bone pain settles. Repeat bloods confirm sustained normal calcium and PTH.

Months 3–6 — Bone Recovery

Long-Term Health Restored

Bone density begins to recover. Kidney stone risk drops. Most patients describe a major improvement in quality of life.

Frequently Asked

Parathyroid Surgery FAQs

Answers to the most common questions. Have another? Send us a message.

Who is the best parathyroid surgeon in Bangladesh?

Prof. Dr. S.M.G. Kibria — FRCS (England, Glasgow, Edinburgh, General), GMC Registered (UK), 18 years UK consultant practice, 35,000+ surgeries — performs minimally invasive parathyroidectomy with intra-operative PTH monitoring for accurate, single-gland cure.

Is parathyroid surgery safe?

Yes — in experienced hands, cure rates exceed 95% with major complication rates under 2%. The most important factors are accurate localisation, an experienced endocrine surgeon, and intra-operative PTH monitoring.

How long is the recovery?

Same-day or overnight discharge. Office work resumed within 7 days. Full unrestricted activity by week 2–3. The neck scar fades over 6–12 months.

What is hyperparathyroidism?

Overactivity of one or more parathyroid glands causing high blood calcium. Symptoms: kidney stones, bone thinning, abdominal pain, depression, fatigue. Surgery is the only definitive cure for primary hyperparathyroidism.

Will I need lifelong medication?

No. Once the diseased gland is removed, the remaining 3 normal glands take over. A short course of oral calcium and vitamin D for a few weeks is usually all that's needed.

What is minimally invasive parathyroidectomy?

A small 2–3cm targeted incision over the localised diseased gland — rather than a traditional four-gland exploration. Intra-operative PTH monitoring confirms successful removal. Smaller scar, faster recovery, equal cure.

How do I know if I need surgery?

Surgery is indicated for primary hyperparathyroidism with high calcium and PTH levels — particularly when complications such as kidney stones, osteoporosis, or symptoms are present. A consultation reviews your bloods, imaging, and symptoms to confirm.

Where does Prof. Kibria perform parathyroid surgery in Dhaka?

Lake View Clinic — House-05, Road 79, Gulshan-2.
SMG Kibria Foundation — Ta-97, 5th Floor, Middle Badda, Gulshan. Call +880 1711-402445 or book online.

Take the First Step

World-Class Surgical Care, Right Here in Dhaka

Whether you need a surgical consultation, a second opinion, or emergency care — Professor Dr. SMG Kibria and his team are here for you.