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Dr John C. Strachan M.B.,ChB (Cape Town) M.MED (UOVS),FCS(SA) General and Laparoscopic Surgeon V.A.T NO: 4550255311 PR NO 4208544 INFORMED CONSENT FOR A THYROIDECTOMY GENERAL RISKS PERTAINING TO THE OPERATION Pain The healthcare team will give you medicine to control the pain. Infection of the surgical site might occur. Let the health team know if you get a high temperature, notice pus in your wound, or if your wound becomes red or painful. Scarring of the skin. Bleeding during or after the operation. This could cause you to be bruised or blood to collect in your wound (haematoma). Blood clot in your leg (DVT) - This can cause pain, swelling or redness in your leg. Blood clot in your lung (Pulmonary Embolus) if a blood clot moves through your bloodstream to your lungs. If you become short of breath, feel pain in your chest or upper back, or if you cough up blood, notify the health team immediately. SPECIFIC RISKS TO THE OPERATION Breathing difficulties –Recurrent laryngeal nerve damage or serious swelling around your neck. Change in your voice due to damage or stretching of nerves close to the thyroid and parathyroid glands. This could cause a hoarse or weak voice. Drop in Calcium levels in your blood. This may cause muscle cramps and a tingling sensation around your mouth. Your calcium levels in your blood will be monitored regularly and Calcium and Vitamin D supplements given if necessary. Drop in Thyroid hormone levels in your blood. You may need replacement treatment with Thyroxine tablets and your blood levels will be monitored for life. ACKNOWLEDGEMENT AND CONSENT FOR OPERATION I acknowledge that I have read and understand the risks for a Thyroidectomy. I understand:My medical condition, the proposed procedure to be undertaken & alternative treatments that may exist pertaining to my condition. I understand I have the right to change my mind at any time following a discussion with Dr Strachan and his staff. I consent to the operation being performed. Name of patient:………………………………………………………………. Signature ………………………………………………………………….. Date …………………………………………………………………………