Dr. Joseph Gharios

Dr. Joseph Gharios

FAQs

Endocrine Surgery FAQs

Most thyroid nodules do not require surgery. Surgery is considered when cytology is suspicious or malignant, when the nodule causes compressive symptoms, when hyperthyroidism cannot be controlled medically, or after repeated indeterminate biopsies with high-risk features.

When performed with proper evaluation and safety measures, thyroid surgery is generally safe. Techniques such as intra-operative nerve monitoring help reduce the risk of voice changes.

Temporary voice changes can occur, but permanent voice injury is uncommon. Nerve monitoring is used to identify and protect the vocal cord nerves during surgery.

Diagnosis is based on elevated blood calcium levels with non-suppressed parathyroid hormone (PTH). Imaging is then used to localize the abnormal gland.

Most patients return home within one to two days, and normal daily activities are resumed gradually over the following days.

Digestive & Hernia Surgery FAQs

A hernia often presents as a bulge that increases with coughing or straining, sometimes associated with discomfort or heaviness. A clinical examination is usually sufficient; ultrasound may be used if the diagnosis is unclear.

Not all hernias require immediate surgery. The decision depends on symptoms, hernia size, risk of complications, and patient factors.

Laparoscopic repair uses small incisions and a camera, often allowing faster recovery. Open repair may be preferred in certain situations. The choice is individualized.

Gallbladder surgery is recommended for symptomatic gallstones, gallbladder inflammation, or complications. Asymptomatic stones often do not require surgery.

Recovery depends on the procedure and approach. Minimally invasive surgery usually allows earlier mobilization and return to daily activities.

Bariatric & Metabolic Surgery FAQs

Eligibility is based on body mass index (BMI), associated medical conditions, previous weight-loss attempts, and overall health status.

Sleeve gastrectomy reduces stomach size, while gastric bypass alters both stomach size and nutrient absorption. The choice depends on weight, reflux, diabetes, and patient-specific factors.

Bariatric surgery is a tool, not a cure. Long-term success depends on lifestyle changes, nutritional follow-up, and regular medical monitoring.

Yes. Lifelong vitamin and mineral supplementation is required, along with regular blood tests.

Most patients resume daily activities within two to three weeks, depending on the procedure and individual recovery.

Robotic Surgery FAQs

Robotic surgery is a form of minimally invasive surgery where the surgeon controls robotic instruments that enhance precision and visualization.

Robotic surgery can offer advantages in complex cases, but it is not necessary for every procedure. The choice depends on the condition and surgical goals.

Yes. Robotic surgery is widely used internationally and follows strict safety protocols. The surgeon remains fully in control throughout the operation.

Recovery is often similar or slightly improved compared to standard laparoscopy, depending on the procedure.

No. Robotic surgery typically uses small incisions similar to laparoscopic surgery.