[Surgical treatment of primary hyperparathyroidism. A descriptive analysis]

In the last decades the primary hyperparthyroidism has become a common disease, often diagnosed by biochemical chance. The Elche General Hospital Department of Otorhinolaryngology has performed 55 parathyroidectomies between November 1996 and March 2003. Thirty-six cases (65.4%) were diagnosed as primary hyperparathyroidism. This disease usually has few symptoms. Since February 2000, Elche Hospital has available a device for quick appraisal of parathormone rate, allowing us in a few minutes to determine it and with the patient still in the operating theatre. The surgery results were: 25 solitary adenomas, 6 double adenomas and 5 hyperplasic. All patients became normocalcemic, and there were no major complications in this series.