title: Primary hyperparathyroidism during pregnancy: management by minimally invasive surgery based on ultrasound localization.
abstract: BACKGROUND
  Primary hyperparathyroidism in pregnancy has the potential to seriously impact the mother and foetus. Management may be difficult because the condition is usually diagnosed during pregnancy necessitating a rapid decision to proceed with surgery. Minimally invasive surgery is appealing due to shorter operative times and lower risk of complications.
  
  
  METHODS
  We present a consecutive series of eight women diagnosed with hyperparathyroidism during pregnancy.
  
  
  RESULTS
  All eight women were treated successfully by parathyroidectomy during pregnancy with no maternal or foetal complications. Seven of these 8 women were treated with minimally invasive parathyroidectomy based on ultrasound localization.
  
  
  CONCLUSIONS
  Where ultrasound localization is performed by experienced endocrine surgeons, minimally invasive parathyroidectomy is a feasible and safe approach in the pregnant patient with primary hyperparathyroidism.
authors.affiliation: Wesley Medical Centre, Brisbane, Queensland, Australia.
authors.forename: Kate M
authors.initials: KM
authors.lastname: Stringer
authors.affiliation: Wesley Medical Centre, Brisbane, Queensland, Australia.
authors.forename: Jenny
authors.initials: J
authors.lastname: Gough
authors.affiliation: Wesley Medical Centre, Brisbane, Queensland, Australia.
authors.forename: Ian R
authors.initials: IR
authors.lastname: Gough
mesh_terms: D000236:Adenoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000328:Adult; D002118:Calcium / Q000097:blood; D005260:Female; D005865:Gestational Age; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010281:Parathyroid Hormone / Q000097:blood; D010282:Parathyroid Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods; D011247:Pregnancy; D012189:Retrospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography / Q000295:instrumentation*
chemical_list: D010281:Parathyroid Hormone; D002118:Calcium
keywords: minimally invasive; primary hyperparathyroidism pregnancy; surgeon performed ultrasound