Remedial surgery for primary hyperparathyroidism

Adv Surg. 2007;41:1-15. doi: 10.1016/j.yasu.2007.05.002.


Remedial parathyroid surgery is a complex undertaking for even the most experienced parathyroid surgeon. It involves a careful preoperative evaluation, including the confirmation of the initial diagnosis of primary HPTH, use of the appropriate localization studies, knowledge of the details of the previous exploration, and surgical re-exploration, including the use of intraoperative localization adjuncts, such as the rapid intraoperative PTH assay (Fig. 6). Althoughthe success rate of remedial explorations can be as high as 98%, complication rates are higher than in initial cervical explorations for parathyroid disease.

Publication types

  • Review

MeSH terms

  • Clinical Competence
  • Humans
  • Hyperparathyroidism, Primary / diagnosis
  • Hyperparathyroidism, Primary / surgery*
  • Parathyroidectomy / methods*
  • Preoperative Care / methods
  • Treatment Outcome