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International Journal of Medical Sciences

.: Home > International Journal of Medical Sciences > 2011 > Volume 8 Number 4 > Karim W Sadik, Malcolm Kell, Tom Gorey

Minimally Invasive Parathyroidectomy Using Surgical Sonography

Karim W Sadik, Malcolm Kell, Tom Gorey
Mater Misericordiae University Hospital, Dublin 2, Ireland
Abstract :

Minimally invasive parathyroidectomy is the procedure of choice for primary hyperpara-thyroidism due to parathyroid adenoma. Localization of the offending adenoma in minimally invasive parathyroidectomy (MIP) has been described in the literature aided by isotope, tel-escope or ultrasound guidance. We present a prospective study of two techniques based on surgeon experience. Thirty patients diagnosed with primary hyperparathyroidism at the Mater hospital in Dublin, Ireland were randomized to have a minimally invasive parathy-roidectomy using surgical sonography (MIPUSS) or the conventional unilateral open proce-dure (OP) over a two year period. The age, sex and serum calcium/parathormone were comparable in both groups. There was no significant difference in complications between the two groups with temporary hypocalcemia occurring in 3 patients undergoing unilateral neck exploration and in 2 MIPUSS patients. There was one transient episode of recurrent laryngeal neuropraxia occurring in the OP group which resolved at 30 day follow-up. The incision size, operating time, hospital stay, and required post-operative analgesia were all markedly reduced in the MIPUSS group. In conclusion, MIPUSS is safe, effective and has advantages in terms of operating time, incision size and early discharge.

Keywords :
Minimally invasive parathyroidectomy, surgical sonography

Date Deposited : 04 Jul 2011 11:13

Last Modified : 04 Jul 2011 11:13

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Volume 8, Number 4, - 2011 , ISSN 1449-1907

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