Remedial surgery for primary hyperparathyroidism.
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.
Wang
Tracy S
TS
Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA.
Udelsman
Robert
R
D002983:Clinical Competence; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000175:diagnosis / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D011300:Preoperative Care / Q000379:methods; D016896:Treatment Outcome