Hypercalcaemia. Parathyroidectomy

We have found the following points to have been to help in the surgery of these elusive glands: Working with a physician who has an interest in calcium metabolism Using methylene blue preoperatively Making the collar incision slightly lower than that for a thyroid operation Using a stitch in the lateral border of the thyroid gland to pull it forwards and medially Looking for the parathyroid glands in fat Assuming that the first operation is going to be the only operation.