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Primary hyperparathyroidism during pregnancy: management by minimally invasive surgery based on ultrasound localization
Author(s) -
Stringer Kate M.,
Gough Jenny,
Gough Ian R.
Publication year - 2017
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.13378
Subject(s) - medicine , primary hyperparathyroidism , parathyroidectomy , pregnancy , ultrasound , surgery , invasive surgery , hyperparathyroidism , endocrine system , obstetrics , radiology , parathyroid hormone , hormone , biology , genetics , calcium
Abstract Background Primary hyperparathyroidism in pregnancy has the potential to seriously impact the mother and foetus. Management may be difficult because the condition is usually diagnosed during pregnancy necessitating a rapid decision to proceed with surgery. Minimally invasive surgery is appealing due to shorter operative times and lower risk of complications. Method We present a consecutive series of eight women diagnosed with hyperparathyroidism during pregnancy. Results All eight women were treated successfully by parathyroidectomy during pregnancy with no maternal or foetal complications. Seven of these 8 women were treated with minimally invasive parathyroidectomy based on ultrasound localization. Conclusion Where ultrasound localization is performed by experienced endocrine surgeons, minimally invasive parathyroidectomy is a feasible and safe approach in the pregnant patient with primary hyperparathyroidism.