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Abstract

Introduction: Hyperparathyroidism (HPT) is the increased secretion of parathyroid hormone (PTH) from the parathyroid glands (GP). Surgical treatment remains the only one capable of curing the disease in primary hyperparathyroidism (PHP) as medical management eventually fails. In secondary hyperparathyroidism (SHP), parathyroidectomy allows control of hypercalcemia levels and its adverse effects. The trend in surgery is to perform less and less invasive approaches offering similar or better results to conventional surgery. The mini-incision surgery in which we focus our work is defined as the performance of a 1.5-2.0 cm transverse incision in the anterior face of the neck.Objective: To evaluate the therapeutic results of the neck-centered mini-incision approach applicable to primary and secondary hyperparathyroidism. To show the casuistry of the mini-incision approach in patients with primary and secondary hyperparathyroidism in a Mutual and University center of Montevideo. Material and methods:Observational, descriptive and retrospective study. A sample of 43 patients was studied. The database was obtained from the electronic registry of surgical coordination for a period of 5 years, after which the corresponding electronic medical records were reviewed. Conclusions:The mini-incision approach can be applied to both primary and secondary hyperparathyroidism. It is a safe procedure, being successful in 90% of the cases in our casuistry. The directed and minimal dissection of the tissues is the basis for not having adverse effects in this series of cases, such as recurrent laryngeal nerve injury and neck hematomas. It also fulfills aesthetic objectives: small and symmetrical wound on skin fold.