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Minimally Invasive Parathyroidectomy

Minimally Invasive Parathyroidectomy

This is surgery to remove the parathyroid glands or parathyroid tumors. Parathyroid glands are located in the neck, behind the thyroid gland. This surgery treats the following conditions:

• Primary hyperparathyroidism
• Secondary (renal) hyperparathyroidism
• Tertiary hyperparathyroidism (after a kidney transplant)
• Parathyroid carcinoma
• Reoperative parathyroid surgery
• MEN1 Syndrome
• MEN2A Syndrome
• Familial hyperparathyroidism

The success and failure of parathyroid surgery depend on proper preoperative planning. There are several specialized imaging scans, such as sestamibi scans, parathyroid ultrasound and 4D CT scans, that can help your surgeon localize an abnormal parathyroid gland to a specific spot in the neck. This allows your surgeon to target the surgery with a small incision and minimal manipulation. Ten minutes after the abnormal gland is removed, the parathyroid hormone levels in your blood can be tested to see if they return to normal levels. This rapid intraoperative parathyroid hormone testing greatly increases the accuracy and success of the surgery, making it less likely that another surgery will be necessary in the future.

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