Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Parathyroid re-exploration.

C E Silver1, F J Velez

  • 1Division of Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10467.

American Journal of Surgery
|December 1, 1992
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The central compartment - Center of controversy, confusion, and concern in management of differentiated thyroid cancer.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2017
Same author

Ethical issues in non-intervention trials for thyroid cancer.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2017
Same author

Numerical modeling of fiber specklegram sensors by using finite element method (FEM).

Optics express·2016
Same author

Paraneoplastic syndromes in patients with oral cancer.

Oral oncology·2009
Same author

Paraneoplastic syndromes in patients with nasopharyngeal cancer.

Auris, nasus, larynx·2008
Same author

Squamous carcinoma arising in a branchial cleft cyst: have you ever treated one? Will you?

The Journal of laryngology and otology·2007
Same journal

High and low body mass index and 90-day postoperative outcomes in patients with Crohn's disease undergoing abdominal surgery.

American journal of surgery·2026
Same journal

Women with firearm injuries: A multicenter mixed-methods study.

American journal of surgery·2026
Same journal

SBAS presidential address: A surgeon-scientist's journey from haptic science to digital performance metrics.

American journal of surgery·2026
Same journal

Using Dr. Google and AI to stay informed.

American journal of surgery·2026
Same journal

Revealing the sex divide: Primary hyperparathyroidism across the American population.

American journal of surgery·2026
Same journal

Pressure points: A pilot study using the NASA-TLX tool to measure the intensity of Acute care surgery work.

American journal of surgery·2026
See all related articles

Parathyroid re-exploration is successful in 85% of patients, even after initial surgery failure or recurrent disease. Pre-operative localization studies and careful review of prior reports improve outcomes for parathyroid re-exploration.

Area of Science:

  • Endocrinology
  • Surgical Oncology

Background:

  • Parathyroid re-exploration is necessary when initial surgery for hyperparathyroidism is unsuccessful or disease recurs.
  • Reasons for initial failure include ectopic glands, supernumerary glands, or inadequate neck exploration.

Purpose of the Study:

  • To evaluate the success rate and factors influencing outcomes in patients undergoing parathyroid re-exploration.
  • To assess the utility of various localization studies in guiding re-explorative surgery.

Main Methods:

  • Retrospective review of 27 patients requiring parathyroid re-exploration.
  • Analysis of initial surgical findings, reasons for failure, and recurrent disease.
  • Pre-operative localization using invasive (vein catheterization, arteriography) and noninvasive (imaging) techniques.

Related Experiment Videos

Main Results:

  • Overall cure rate of 85% (23 of 27 patients).
  • Successful outcomes in 17 of 20 patients with initial exploration failure and 6 of 7 with recurrent disease.
  • Localization studies were successful in identifying gland location prior to re-exploration.

Conclusions:

  • Parathyroid re-exploration can achieve high success rates with careful pre-operative planning.
  • Reviewing initial operative and pathology reports is crucial for identifying reasons for failure.
  • Localization studies, particularly noninvasive methods, significantly aid in successful re-operative surgery.