Surgery Medical News about Hyperparathyroidism Hyperparathyroidism, Primary

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What steps should be considered in the patient who has had a negative cervical exploration for primary hyperparathyroidism
Clinical Endocrinology, 10/15/09

Harrison B – The surgeon must have a detailed knowledge of the nuances of parathyroid embryology and a meticulous surgical technique, not only to identify and safely remove the retained gland/s but also do so without causing unnecessary morbidity. Results of re–operation (84–98% cure) from centres of excellence are highly commendable, yet the use of `new' technology (that includes intra–operative PTH) has not translated into improved outcomes in all cases. Some parathyroid glands are extremely difficult to find! Re–operative parathyroid surgery is a challenge, sometimes easy, and on other occasions extremely difficult.

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Postexercise Cardiac Performance Among Patients With Mild Primary Hyperparathyroidism
The Endocrinologist, 11/16/09 Relevance Score: 82%

Insulin resistance is not coupled with defective insulin secretion in primary hyperparathyroidism
Diabetic Medicine, 10/02/09 Relevance Score: 82%

No recurrence of sporadic primary hyperparathyroidism when cure is established 6 months after parathyroidectomy
European Journal of Endocrinology, 11/05/09 Relevance Score: 81%

Nonoperative management of primary hyperparathyroidism: the exception rather than the rule
Expert Review of Endocrinology & Metabolism, 11/17/09 Relevance Score: 80%

Single Photon Emission Computed Tomography (SPECT) Should be Routinely Performed for the Detection of Parathyroid Abnormalities Utilizing Technetium-99m Sestamibi Parathyroid Scintigraphy
Clinical Nuclear Medicine, 10/07/09 Relevance Score: 80%