title: Surgical management of the parathyroids.
abstract: The recent advance of intraoperative PTH monitoring combined with preoperative localization techniques allow for minimally invasive parathyroid surgery in 75% to 85% of cases. In cases where a single adenoma is identified, minimally invasive techniques should result in a need for repeat surgery in only 2% of cases. The cost of intraoperative PTH assays of localization and gamma probes limits their availability. Complications of parathyroidectomy are uncommon, but appropriate management is important, particularly for patients with hypocalcemia.
authors.affiliation: Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, P.O. Box 26901, WP1360, Oklahoma City, OK 73190, USA.
authors.forename: Greg A
authors.initials: GA
authors.lastname: Krempl
authors.forename: Jesus E
authors.initials: JE
authors.lastname: Medina
authors.forename: Anna L
authors.initials: AL
authors.lastname: Bouknight
mesh_terms: D003560:Cysts / Q000628:therapy*; D006801:Humans; D006961:Hyperparathyroidism / Q000145:classification / Q000175:diagnosis* / Q000628:therapy*; D019060:Minimally Invasive Surgical Procedures; D010280:Parathyroid Glands / Q000601:surgery*; D010281:Parathyroid Hormone / Q000097:blood; D010282:Parathyroid Neoplasms / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*
chemical_list: D010281:Parathyroid Hormone