- Parathyroidectomy
Interventions infobox
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ICD9 = 06.8
MeshID = D016105
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Also known as "Parathyroid gland removal", Parathyroidectomy is the surgical removal of one or moreparathyroid gland s. This procedure is used to remove primary tumors or hyperplasia of the glands, especially when they produce excessiveparathyroid hormone . As drugs such as Fosamax do not treat the underlying cause of parathyroid-relatedosteoporosis , surgery is the only cure. Bone loss is reversible.The location of the glands is generally behind the
thyroid , but there is a lot of variation. Usually, the location of an enlarged gland has been confirmed via asestamibi scan or on ultrasound.Procedure
During the operation, the patient is usually put under a
general anesthetic (unconscious and pain free) or alocal anesthetic (pain free). Thesurgeon makes an incision around an inch long in the neck just under theAdam's apple and locates the offending parathyroid glands. Preoperative testing using [sestamibi] scanning can identify the location of glands. It can also be used to limit the extent of surgical exploration and facilitate a radioguided parathyroidectomy [cite journal | author = Untch BR, et al | title = Minimally invasive radio-guided surgery for primary hyperparathyroidism | journal = Ann Surg Oncol. | volume = 14 | issue = 12 | pages = 3401–2 | year = 2007 | pmid = 17899291 | doi = 10.1245/s10434-007-9519-0] .The particular problem or disease will determine how many of the parathyroid glands are removed. Some parathyroid tissue must be left in place to help prevent
hypoparathyroidism .The
patient usually recovers very quickly after the operation. ThePTH level is back to normal within 10-15 minutes, and is confirmed by routine blood tests following the operation. However, the remaining parathyroid glands may take hours to several weeks to return to their normal functioning levels. Patients must be placed on calcium supplements to prevent symptoms ofhypocalcemia and to restore lost bone mass.References
* cite web
last = Lee
first = J.A.
title = Parathyroidectomy
publisher = Medline Plus
work = Medical Encyclopedia
date = 2006-10-16
year = 2006
url = http://www.nlm.nih.gov/medlineplus/ency/article/002931.htm
accessdate = 2007-11-02*
*cite journal | author = Untch BR, et al | title = Minimally invasive radio-guided surgery for primary hyperparathyroidism | journal = Ann Surg Oncol. | volume = 14 | issue = 12 | pages = 3401–2 | year = 2007 | pmid = 17899291 | doi = 10.1245/s10434-007-9519-0
External links
* http://parathyroid.com
* [http://www.ghorayeb.com/ParathyroidectomyFAQ.html More information and FAQ]
* [http://www.ghorayeb.com/ParathyroidectomyPicture.html Pictures of Sestamibi scan and surgical pictures of parathyroidectomy]
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