Dr. Joseph Gharios
Endocrine Surgery
Thyroid, Parathyroid & Adrenal Surgery in Lebanon
Endocrine surgery focuses on disorders of the thyroid, parathyroid, and adrenal glands. Care begins with comprehensive clinical evaluation, laboratory testing, and high-quality imaging to determine whether surgical intervention is necessary.
Surgery is recommended only when clearly indicated and aligned with international evidence-based guidelines.
Thyroid Surgery
Thyroid surgery is performed for conditions such as thyroid nodules, goiter, hyperthyroidism, and thyroid cancer.
Procedures may include:
- Total thyroidectomy
- Hemithyroidectomy (lobectomy)
- Completion thyroidectomy
- Revision (redo) thyroid surgery
Special attention is given to preservation of the recurrent laryngeal nerve and parathyroid glands to protect voice function and calcium balance.
2999
+
Thyroid & Parathyroid Surgeries performed throughout career
Radiofrequency Ablation (RFA) for Thyroid Nodules
Radiofrequency ablation is a minimally invasive treatment option for selected benign thyroid nodules.
RFA may be considered when:
- A thyroid nodule is benign but symptomatic
- There is cosmetic concern due to nodule size
- The patient prefers a non-surgical alternative
This ultrasound-guided technique reduces nodule volume while preserving the thyroid gland and does not require general anesthesia.
Careful patient selection ensures safety and optimal outcomes.
Parathyroid Surgery
Parathyroid surgery is performed for:
- Primary hyperparathyroidism (most commonly due to parathyroid adenoma)
- Secondary and tertiary hyperparathyroidism (often related to parathyroid hyperplasia)
Modern techniques include:
- Focused minimally invasive parathyroidectomy
- Intra-operative PTH monitoring to confirm surgical success
- Advanced parathyroid identification technologies such as PTEye and Fluoptics for improved gland detection and preservation
The goal is precise gland removal while minimizing incision size and recovery time.
290
+
Thyroidectomy & Parathyroidectomy procedures performed annually
Adrenal Surgery
Adrenal surgery is indicated for hormonally active tumors, adrenal masses, or suspicious lesions.
Whenever appropriate, laparoscopic or robotic adrenalectomy is performed.
Indications include:
- Primary aldosteronism
- Cushing syndrome
- Pheochromocytoma
- Adrenocortical carcinoma
- Adrenal incidentalomas
490
+
Adrenal Surgeries Performed
Key Principles
- Evidence-based surgical indications
- Nerve monitoring for safety
- Minimally invasive techniques
- Function-preserving approaches
- Individualized treatment planning
The objective is safe disease control while maintaining quality of life.