Open AccessFocused parathyroidectomy using accurate preoperative imaging and intraoperative PTH: Tertiary care experience
Author(s) -
Roma Pradhan,
Sushil K. Gupta,
Amit Agarwal
Publication year - 2019
Publication title -
indian journal of endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.456
H-Index - 28
eISSN - 2230-9500
pISSN - 2230-8210
DOI - 10.4103/ijem.ijem_20_19
Subject(s) - medicine , parathyroidectomy , parathyroid hormone , primary hyperparathyroidism , tertiary care , lesion , tertiary hyperparathyroidism , radiology , surgery , urology , calcium
The cure rate after focused parathyroidectomy (FP) is dependent upon two critical adjuncts- concordant preoperative imaging and intraoperative parathyroid hormone (PTH), a technique which can reliably determine whether any other hyperfunctioning gland or glands are still present after resection of the lesion shown by imaging. We wanted to see the cure rate of FP by using these two adjuncts. We also sought to discern whether utilizing the central lab rapid PTH assay will lead to wider acceptance of this FP with intraoperative PTH in resource-constrained countries. This analysis was also undertaken to find out cost-effective way of doing intraoperative PTH by minimizing the samples for intraoperative PTH study.