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Remedial surgery for primary hyperparathyroidism. Adv Surg 2007;41:1-15

Date

11/02/2007

Pubmed ID

17972554

DOI

10.1016/j.yasu.2007.05.002

Scopus ID

2-s2.0-34548675169 (requires institutional sign-in at Scopus site)   8 Citations

Abstract

Remedial parathyroid surgery is a complex undertaking for even the most experienced parathyroid surgeon. It involves a careful preoperative evaluation, including the confirmation of the initial diagnosis of primary HPTH, use of the appropriate localization studies, knowledge of the details of the previous exploration, and surgical re-exploration, including the use of intraoperative localization adjuncts, such as the rapid intraoperative PTH assay (Fig. 6). Althoughthe success rate of remedial explorations can be as high as 98%, complication rates are higher than in initial cervical explorations for parathyroid disease.

Author List

Wang TS, Udelsman R

Author

Tracy S. Wang MD, MPH Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Clinical Competence
Humans
Hyperparathyroidism, Primary
Parathyroidectomy
Preoperative Care
Treatment Outcome