Judicious use of frozen section in parathyroid surgery

I read with great interest the article by Seneviratne and Gamage [1]. We should set the record straight with regard to the history of parathyroid (PT) surgery. Dr Felix Mandl performed the first parathyroidectomy for primary hyperparathyroidism (PHPT) on July 30, 1925, in Vienna on Herr Albert Jahne, a 38-year-old man with incapacitating osteitis fibrosa cystica [2]. This was a bilateral neck exploration (BNE). I have referred several PHPT patients with bilateral renal stones to reputed surgeons for PT surgery with eventual operative failure in most cases. In this context, the authors should be highly praised for the excellent results achieved. However, I beg to differ with the authors on a few salient facts [1].