Surgical results and the location of pathological glands in the treatment of primary sporadic hyperparathyroidism with negative preoperative 99mTc-sestamibi scintigraphy

Agirre, Leire; Quintana, Aitor de la; Martínez, Gloria; Arana, Ainhoa; Servide, María José; Larrea, J.M. Ruiz Caro

doi:10.1016/j.cireng.2021.11.011

Cited by 2 publications

(1 citation statement)

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“…The case reports presented in this article do not assess patient follow-up but reflect the results in terms of procedural success and adverse events, which are similar to those reported in the international literature. 25,26…”

Section: Discussionmentioning

confidence: 99%

Mini-incision surgery for hyperparathyroidism: first experience of the endocrine surgery unit of a university center in Montevideo

Parada,

et al. 2023

JCPCR

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Introduction: Hyperparathyroidism (HPT) is the increased secretion of parathyroid hormone (PTH) from the parathyroid glands (GP). Surgical treatment remains the only one capable of curing the disease in primary hyperparathyroidism (PHP) as medical management eventually fails. In secondary hyperparathyroidism (SHP), parathyroidectomy allows control of hypercalcemia levels and its adverse effects. The trend in surgery is to perform less and less invasive approaches offering similar or better results to conventional surgery. The mini-incision surgery in which we focus our work is defined as the performance of a 1.5-2.0 cm transverse incision in the anterior face of the neck.Objective: To evaluate the therapeutic results of the neck-centered mini-incision approach applicable to primary and secondary hyperparathyroidism. To show the casuistry of the mini-incision approach in patients with primary and secondary hyperparathyroidism in a Mutual and University center of Montevideo. Material and methods:Observational, descriptive and retrospective study. A sample of 43 patients was studied. The database was obtained from the electronic registry of surgical coordination for a period of 5 years, after which the corresponding electronic medical records were reviewed. Conclusions:The mini-incision approach can be applied to both primary and secondary hyperparathyroidism. It is a safe procedure, being successful in 90% of the cases in our casuistry. The directed and minimal dissection of the tissues is the basis for not having adverse effects in this series of cases, such as recurrent laryngeal nerve injury and neck hematomas. It also fulfills aesthetic objectives: small and symmetrical wound on skin fold.

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Section: Discussionmentioning

confidence: 99%