The diagnosis and surgical treatment of primary hyperparathyroidism

Surgical management of primary hyperparathyroidism is a very effective method. The target is to cure primary hyperparathyroidism and to reach normal calcium levels. This results in an improvement of health condition and resolution or at least moderation of symptoms. Complications are infrequent and mortality is very low. Surgical management is definite, safe and effective. Number, location and surrounding structures of parathyroid glands with emphasis on parathyroidectomy were studied on 101 cadaverous bodies. We recommend the performance of parathyroidectomy in a circumscribed area 2 cm in diameter, 1 cm cranially to the intersection of the inferior thyroid artery and recurrent laryngeal nerve. We identified 75% of samples as parathyroid glands. The rest of collected samples were lymph nodes, fat particles and thyroid or lipothymic tissue. During the course of this study, we have tested techniques of miniinvazive procedures. In the following part, the bony, metabolic and biochemical syndromes are evaluated. We presented series of 151 patients that have been operated with the diagnosis of primary hyperparathyroidism. The survey is focused on the primary hyperparathyroidism and concomitant diseases and on the possible sequelae in the postoperative period. The special part is describing 10 clinical..