Before Minimally Invasive Parathyroidectomy in Patients with Primary Hyperparathyroidism Ultrasonography Accompanied by Methylene Blue Staining: A Case Guided Review
Journal Title: Meandros Medical and Dental Journal - Year 2020, Vol 21, Issue 3
Abstract
Primary hyperparathyroidism is an endocrine disease that leads to the excessive secretion of the parathyroid hormone. In most patients with an underlying disease of parathyroid adenoma, its excision usually provides the definitive treatment. However, localization in surgery can be difficult due to the wide anatomic location of the parathyroid gland caused by changes in the shape and number. Especially parathyroidectomy had neck surgery in a patient poses a problem for endocrine surgeons still important. Determining the localization among these patients is more difficult. Compared to patients who have previously undergone neck surgery, a higher number of recurrent laryngeal nerve injuries and an increased incidence of postoperative hypocalcemia are noted, and a lower number of cure rates exist. In this case, we evaluated preoperative ultrasound-guided parathyroid adenoma lesions detected by the methylene blue stain, making painting easier during the operation and the postoperative treatment successful.
Authors and Affiliations
Aykut Soyder, Mustafa Ünübol, Eyüp Murat Yılmaz, Engin Güney
Keywords
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