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Intraoperative adjuncts in surgery for primary hyperparathyroidism

Harrison, Barney J.
Published in Langenbeck's Archives of Surgery. 2009, vol. 394, no. 5, p. 799-809
Abstract PURPOSE: This paper is a review of the evidence base to produce recommendations for the use of intraoperative parathyroid hormone (PTH), radioguided parathyroidectomy (RGP), methylene blue (MB), frozen section, and intraoperative neuromonitoring during surgery for primary hyperparathyroidism (PHPT). MATERIALS AND METHODS: A Medline keyword search of English-language articles led to the production of a draft document, subsequently revised by committee, containing levels of evidence and the grading of recommendations as proposed by the Agency for Healthcare Research and Quality. RESULTS: Literature review provides the basis for clear recommendations on the use of intraoperative PTH at surgery for PHPT. There is little evidence to support the use of RGP, MB, routine frozen section, and intraoperative neuromonitoring.
Keywords Coloring Agents/diagnostic useFrozen SectionsHumansHyperparathyroidism, Primary/blood/radionuclide imaging/*surgeryMethylene Blue/diagnostic use*Monitoring, IntraoperativeParathyroid Hormone/bloodParathyroidectomyRadiopharmaceuticals/diagnostic useRecurrent Laryngeal Nerve/physiologyTechnetium Tc 99m Sestamibi/diagnostic use
PMID: 19590891
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Research group Mésothéliome pleural malin (944)
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HARRISON, Barney J., TRIPONEZ, Frédéric. Intraoperative adjuncts in surgery for primary hyperparathyroidism. In: Langenbeck's Archives of Surgery, 2009, vol. 394, n° 5, p. 799-809. https://archive-ouverte.unige.ch/unige:19856

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Deposited on : 2012-04-23

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