scholarly journals Erratum to: A Predictive Model of Suitability for Minimally Invasive Parathyroid Surgery in the Treatment of Primary Hyperparathyroidism

2012 ◽  
Vol 36 (5) ◽  
pp. 1174-1174
Author(s):  
Dara O. Kavanagh ◽  
Patricia Fitzpatrick ◽  
Eddie Myers ◽  
Rory Kennelly ◽  
Stephen J. Skehan ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Predictive Model ◽  
Parathyroid Surgery

scholarly journals Is minimally invasive parathyroid surgery an option for patients with gestational primary hyperparathyroidism?

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Cino Bendinelli ◽  
Shane Nebauer ◽  
Tuan Quach ◽  
Shaun Mcgrath ◽  
Shamasunder Acharya
Keyword(s):  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Parathyroid Surgery

scholarly journals Preoperative Parathyroid Needle Localization: A Minimally Invasive Novel Technique in Reoperative Settings

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Ryan Winters ◽  
Paul Friedlander ◽  
Salem Noureldine ◽  
Ibrahim Ekaidi ◽  
Krzysztof Moroz ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Guide Wire ◽  
Calcium Supplementation ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Parathyroid Surgery ◽  
Invasive Approach ◽  
Needle Localization ◽  
Serum Pth

Background. Reoperative parathyroid surgery for primary hyperparathyroidism can be challenging. Numerous preoperative localization techniques have been employed to facilitate a more focused surgical exploration. This paper describes a novel, minimally invasive, and highly successful method of parathyroid localization.Methods. Patients with recurrent or persistent primary hyperparathyroidism underwent parathyroidectomy following CT scan or ultrasound-guided wire localization of the parathyroid. Accurate placement was confirmed by fine-needle aspiration with immunocytochemistry or PTH washout. The guide wire was leftin situto guide surgical excision of the gland. Curative resection was established by monitoring intact serum PTH levels after excision of the adenoma.Results. All ten patients underwent successful redo-targeted parathyroidectomy. Nine of the ten patients were discharged on the day of surgery. One patient was observed overnight due to transient postoperative hypocalcemia, which resolved with calcium supplementation.Conclusion. Placement of a localization wire via preoperative high-resolution ultrasound or CT can expedite reoperative parathyroid surgery. It allows identification of parathyroid adenoma via a minimally invasive approach, especially in cases where a sestamibi scan is inconclusive.

Minimally invasive, video-assisted parathyroid surgery for primary hyperparathyroidism

1997 ◽  
Vol 20 (7) ◽  
pp. 429-430 ◽  
Author(s):  
P. Miccoli ◽  
A. Pinchera ◽  
G. Cecchini ◽  
M. Conte ◽  
C. Bendinelli ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Parathyroid Surgery ◽  
Video Assisted

Randomized clinical trial comparing open with video-assisted minimally invasive parathyroid surgery for primary hyperparathyroidism

2009 ◽  
Vol 97 (2) ◽  
pp. 177-184 ◽  
Author(s):  
O. Hessman ◽  
J. Westerdahl ◽  
N. Al-Suliman ◽  
P. Christiansen ◽  
P. Hellman ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Randomized Clinical Trial ◽  
Parathyroid Surgery ◽  
Video Assisted

A Predictive Model of Suitability for Minimally Invasive Parathyroid Surgery in the Treatment of Primary Hyperthyroidism

2011 ◽  
Vol 36 (5) ◽  
pp. 1175-1181 ◽  
Author(s):  
Dara O. Kavanagh ◽  
Patricia Fitzpatrick ◽  
Eddie Myers ◽  
Rory Kennelly ◽  
Stephen J. Skehan ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Predictive Model ◽  
Parathyroid Surgery ◽  
Primary Hyperthyroidism

Intra-Operative Parathyroid Identification Using Methylene Blue in Parathyroid Surgery

2007 ◽  
Vol 73 (8) ◽  
pp. 820-823 ◽  
Author(s):  
Nancy Han ◽  
Jeffrey M. Bumpous ◽  
Richard E. Goldstein ◽  
Muffin M. Fleming ◽  
Michael B. Flynn
Keyword(s):  
Methylene Blue ◽  
Retrospective Study ◽  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Minimally Invasive Parathyroidectomy ◽  
Parathyroid Surgery ◽  
Systemic Complications ◽  
Invasive Parathyroidectomy ◽  
The Difference ◽  
Initial Exploration

The objective of this study was to determine the value of intra-operative methylene blue (MB) during parathyroid surgery. We did a retrospective study of 473 patients after initial exploration for previously untreated symptomatic primary hyperparathyroidism. Procedural and post procedural data were collected on four groups of patients: minimally invasive parathyroidectomy with MB (n = 147), and without MB (n = 205), bilateral parathyroid exploration with intra-operative parathormone assay with MB (n = 56), and without MB (n = 65). Length of surgery was shorter for patients explored with MB (P = 0.026). For the minimally invasive parathyroidectomy group, the difference between the MB and non-MB groups was seven minutes. Twelve minutes was the difference between the MB and non-MB intra-operative parathormone assay groups. Length of stay, local complications, and correction of hypercalcemia after parathyroidectomy were not significantly affected by the use of MB. Systemic complications were lower in the MB groups. Aside from a statistically significant, but quantitatively minimal decrease in the length of surgery, no consistent benefit was identified with the use of MB for intra-operative parathyroid identification.

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