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Neck hematoma after parathyroidectomy.

Marie W Su1, Christopher R McHenry2

  • 1Department of Surgery, MetroHealth Medical Center, 2500 MetroHealth Dr, Cleveland, OH, 44109, USA.

American Journal of Surgery
|November 6, 2025
PubMed
Summary
This summary is machine-generated.

Neck hematoma requiring urgent evacuation after parathyroidectomy is rare, occurring in 0.6% of patients with primary hyperparathyroidism (pHPT). The rate did not significantly differ between pHPT and renal hyperparathyroidism (HPT) patients.

Keywords:
Neck hematomaParathyroidectomyPrimary hyperparathyroidismRenal hyperparathyroidism

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Neurosurgery

Background:

  • Parathyroidectomy is a common surgical procedure.
  • Neck hematoma is a potential complication following parathyroidectomy.
  • Understanding the incidence of this complication is crucial for patient safety.

Purpose of the Study:

  • To determine the rate of neck hematoma requiring urgent evacuation after parathyroidectomy.
  • To compare the incidence of neck hematoma in patients with primary hyperparathyroidism (pHPT) versus renal hyperparathyroidism (HPT).

Main Methods:

  • A retrospective analysis of patients who underwent parathyroidectomy between 1992 and 2025.
  • Comparative analysis of neck hematoma rates between pHPT and renal HPT cohorts.
  • Statistical analysis including chi-squared test and p-value calculation.

Main Results:

  • A total of 1002 patients underwent parathyroidectomy (922 pHPT, 80 renal HPT).
  • Six patients (0.6%), all with pHPT, developed neck hematoma requiring urgent evacuation.
  • No significant difference in hematoma rates was observed between pHPT and renal HPT groups (p=0.49).

Conclusions:

  • The incidence of life-threatening neck hematoma after parathyroidectomy is low.
  • There is no statistically significant difference in neck hematoma rates between patients with pHPT and renal HPT.
  • This finding aids in risk assessment and patient counseling for parathyroidectomy.