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Preoperative Parathyroid Needle Localization : A Minimally Invasive Novel Technique in Reoperative Settings
Joint Authors
Freidlander, Paul L.
Moroz, Krzysztof
Noureldine, Salem
Winters, Ryan
Ekaidi, Ibrahim
Kandil, Emad
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-08-13
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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 left in situ to 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.
American Psychological Association (APA)
Winters, Ryan& Freidlander, Paul L.& Noureldine, Salem& Ekaidi, Ibrahim& Moroz, Krzysztof& Kandil, Emad. 2011. Preoperative Parathyroid Needle Localization : A Minimally Invasive Novel Technique in Reoperative Settings. Minimally Invasive Surgery،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-475540
Modern Language Association (MLA)
Winters, Ryan…[et al.]. Preoperative Parathyroid Needle Localization : A Minimally Invasive Novel Technique in Reoperative Settings. Minimally Invasive Surgery No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-475540
American Medical Association (AMA)
Winters, Ryan& Freidlander, Paul L.& Noureldine, Salem& Ekaidi, Ibrahim& Moroz, Krzysztof& Kandil, Emad. Preoperative Parathyroid Needle Localization : A Minimally Invasive Novel Technique in Reoperative Settings. Minimally Invasive Surgery. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-475540
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-475540