[Surgical treatment of hyperparathyroidism]

In Denmark, the parathyroidectomy rate due to primary hyperparathyroidism has increased over the last decade. Primary hyperparathyroidism leads to a range of diffuse neuromuscular symptoms, bone loss and kidney stones. Tertiary hyperparathyroidism can develop in secondary hyperparathyroidism from chronic renal failure. The predominant definitive treatment for both primary and tertiary hyperparathyroidism is surgery, generally preceded by localization imaging and usually with intraoperative parathyroid hormone assessment. This publication summarizes in this review the updated management of these diseases.