Brave williams gland disorder2/17/2023 Therefore, if one could determine before surgery where the abnormal parathyroid gland was, a directed operation would appear to be logical. 4,5 This is based on the fact that 85% to 90% of patients with primary hyperparathyroidism have a single parathyroid adenoma that when excised results in cure. 3ĭespite the admirable results obtained in selected series, a group of surgeons has questioned the need for bilateral neck explorations for all patients with primary hyperparathyroidism. The results in large series demonstrate cure rates that exceed 95%, with complication rates in the range of 1% to 2%. 2 Thereafter, it became the standard of care in most institutions to perform bilateral neck explorations for primary hyperparathyroidism. The patient experienced cure with marked resolution of his symptoms and signs of hyperparathyroidism. 1 The procedure was performed under local anesthesia, four parathyroid glands were identified, and an enlarged parathyroid gland was excised. The first successful parathyroidectomy for primary hyperparathyroidism was performed by Felix Mandl in Vienna in 1925.
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