Persistent and Recurrent Hyperparathyroidism After Total Parathyroidectomy With Autotransplantation

Radioguided parathyroidectomy in forearm graft for recurrent hyperparathyroidism

“…This test confirmed the gamma probe results [14]. Our data seem to confirm that the intra-operative gamma probe technique enables the surgeon to localise foream autoimplanted parathyroid hyperplastic tissue in the absence of marking sutures or clips [9,15].…”

Total parathyroidectomy without autotransplantation as a standard procedure in the treatment of secondary hyperparathyroidism

“…Additionally, we routinely performed ultrasonography of the neck and forearm after clinical examination. Further diagnostic procedures were suggested to detect recurrent or persistent HPT: intact PTH gradient, ultrasonography, Tc-labeled sesta-MIBI scan, magnetic resonance imaging or computed tomography [27,28]. Surgery is indicated if two of this procedures show the same localization.…”

Thoracoscopic Removal of Hypertrophic Mediastinal Parathyroid Glands in Recurrent Secondary Hyperparathyroidism

“…The incidence of recurrent SHPT ranges from 0 to 80 % using different surgical approaches [1][2][3][4]. It generally results from hyperplasia of the grafted parathyroid, inadequate initial dissection or supernumerary or ectopic glands [2,4,5].…”