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An evaluation of the intraoperative staining technique using methylene blue for the detection of hyperplastic
S Kobayashi1, M Miyakawa, A Sugenoya
1Second Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
The Japanese Journal of Surgery
|November 1, 1988
Abstract:
Intraoperative staining with methylene blue was employed during parathyroid surgery on 50 glands from 13 patients, 5 with primary and 8 with secondary hyperparathyroidism. Forty-seven out of the 50 glands (94 per cent) were visualized by the staining and 2 out of the 13 patients were revealed to have supernumerary parathyroid glands. Since we started using this technique, there have been no cases of persistent hypercalcemia. The results of this study support the clinical usefulness of this staining procedure for detecting hyperplastic parathyroid glands in both primary and secondary hyperparathyroidism.