“…Our results of PTHSVS compared with subsequent histhopathological results support PTHSVS as a useful additional test when both the parathyroid USS and Sestamibi scans are inconclusive. This is concordant with reports from other authors [2], although there are also contradictory reports [3]. Current literature reviews support the use of PTHSVS in preparation for revision surgery in persistent PHPT [4,5] In our hands PTHSVS enables the surgeon to choose FP rather than BNE in a significant proportion of patients with negative or discordant imaging.…”