Selective intra-operative parathyroid hormone in re-do neck exploration in parathyroidectomy: A case report.
Case report
Intra-operative assay
Non-localised parathyroid
Parathyroid adenoma
Parathyroidectomy
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2019
2019
Historique:
received:
27
01
2019
accepted:
18
02
2019
pubmed:
16
3
2019
medline:
16
3
2019
entrez:
16
3
2019
Statut:
ppublish
Résumé
Intra-operative parathyroid hormone (I-OPTH) levels are an adjunct used in parathyroid surgery which provides assurance that parathyroidectomy surgery is complete and has removed the hypersecreting gland. A 78 year old female with no localisation on pre-operative imaging and had previous hemithyroidectomy. I-OPTH was used to guide the side and timing for completion of exploration, factors which reduced operative time, operative cost and avoided potential complications. Routine and selective I-OPTH may be used to guide parathyroidectomy, and this case highlights the methodology of use in a selective challenging case. Appropriate application and interpretation of results must be achieved to ensure adequate completion of surgery and cure for the patient. Selective use of I-OPTH guides parathyroidectomy in challenging cases, and can be time and cost-effective when used appropriately.
Identifiants
pubmed: 30875622
pii: S2210-2612(19)30092-6
doi: 10.1016/j.ijscr.2019.02.031
pmc: PMC6416964
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1-4Informations de copyright
Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
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