Endocrine Abstracts

Introduction: Parathyroidectomy is performed in primary hyperparathyroidism using either focussed approach or bilateral neck exploration depending upon the pre-operative localisation results. The type of localising investigations and utility of intra-operative adjuncts like IOPTH vary in individual units. In our unit, parathyroid sestamibi scan and neck ultrasound (USS) are done routinely for all cases, and SPECT/CT and CT or MRI are reserved for selective patients. This study...

IntroductionThere is general consensus that parathyroid excision is the treatment of choice for primary hyperparathyroidism. Minimally invasive surgery with limited neck exploration has the benefits of reduced operative and recovery times, less complications and excellent cosmetic results. However the success of unilateral neck exploration depends on the accurate preoperative localization of a parathyroid adenoma.Objective<p cl...