title: Successful Localization of Abnormal Parathyroid Gland Using Ultrasound-Guided Methylene Blue Dye Injection in the Reoperative Neck.
abstract: Persistent or recurrent hyperparathyroidism is a challenging problem for endocrine surgeons. The aim of this study was to review our experience using ultrasound-guided (US-G) methylene blue dye injection for the localization and removal of abnormal parathyroid glands in patients having primary hyperparathyroidism and previous neck surgery. Between January 2012 and May 2013, six consecutive patients with primary hyperparathyroidism (PHPT) and previous neck surgery underwent focused parathyroidectomy with the use of US-G methylene blue dye injections to localize the presumed parathyroid adenoma were included in the study. We analyzed the data of six patients who underwent reoperative parathyroid surgery using US-G methylene blue dye injection retrospectively. The dye injection was performed just prior to surgery. All patients were successfully treated for their hyperparathyroidism which was confirmed by at least 50 % drop in intraoperative parathormone level 10 min after resection. There were no complications related with US-G dye injection or with surgery. US-G methylene blue dye injection is a cheap, safe, and effective method for localization of diseased parathyroid glands and guiding surgery in the reoperative neck.
authors.affiliation: Department of Surgery, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey ; General Surgery Clinic, Izmir Katip Celebi University Ataturk Training and Research Hospital, Karabaglar, Izmir, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Haciyanli
authors.affiliation: Radiology Clinics, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
authors.forename: Melike Bedel
authors.initials: MB
authors.lastname: Koruyucu
authors.affiliation: Radiology Clinics, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
authors.forename: Nezahat Karaca
authors.initials: NK
authors.lastname: Erdoğan
authors.affiliation: Department of Surgery, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
authors.forename: Ozcan
authors.initials: O
authors.lastname: Dere
authors.affiliation: Department of Surgery, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
authors.forename: Erdem
authors.initials: E
authors.lastname: Sarı
authors.affiliation: Department of Surgery, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Kumkumoğlu
authors.affiliation: Department of Surgery, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Tavusbay
authors.affiliation: Department of Surgery, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
authors.forename: Erdinc
authors.initials: E
authors.lastname: Kamer
keywords: Hyperparathyroidism; Methylene blue; Neck; Reoperative