title: Preoperative parathyroid harpoon localisation: a new technique helpful in reoperative patients with persistent hyperparathyroidism.
abstract: Surgery for persistent primary hyperparathyroidism remains a major challenge for surgeons and these reoperative procedures require an experienced parathyroid surgeon. The goal of reoperative surgery is to excise the abnormal parathyroid gland(s) and limit exploration to help minimise the potential complications. At least two positive and concordant localising studies should be available before reoperation because the technical difficulties in these cases make an exact localisation necessary before surgery. We describe the placement of a metallic harpoon under ultrasonography guidance as a safe, simple and inexpensive technique for localisation of the enlarged gland prior to conservative surgery.
authors.affiliation: Department of General Surgery, La Princesa University Hospital, Madrid, Spain. jgomezramirez@hotmail.com
authors.forename: J
authors.initials: J
authors.lastname: Gómez-Ramírez
authors.forename: D
authors.initials: D
authors.lastname: Tagarro
authors.forename: J M
authors.initials: JM
authors.lastname: Bravo
authors.forename: E
authors.initials: E
authors.lastname: Martín-Pérez
authors.forename: E
authors.initials: E
authors.lastname: Larrañaga
mesh_terms: D000236:Adenoma / Q000601:surgery*; D002908:Chronic Disease; D057918:Fiducial Markers; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010282:Parathyroid Neoplasms / Q000601:surgery*; D016105:Parathyroidectomy / Q000295:instrumentation*; D011300:Preoperative Care / Q000295:instrumentation; D012086:Reoperation / Q000295:instrumentation; D018084:Ultrasonography, Interventional