Format

Send to

Choose Destination
See comment in PubMed Commons below
Langenbecks Arch Surg. 2009 Sep;394(5):799-809. doi: 10.1007/s00423-009-0532-6. Epub 2009 Jul 10.

Intraoperative adjuncts in surgery for primary hyperparathyroidism.

Author information

  • 1Endocrine Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, UK. barney.harrison@sth.nhs.uk

Abstract

PURPOSE:

This paper is a review of the evidence base to produce recommendations for the use of intraoperative parathyroid hormone (PTH), radioguided parathyroidectomy (RGP), methylene blue (MB), frozen section, and intraoperative neuromonitoring during surgery for primary hyperparathyroidism (PHPT).

MATERIALS AND METHODS:

A Medline keyword search of English-language articles led to the production of a draft document, subsequently revised by committee, containing levels of evidence and the grading of recommendations as proposed by the Agency for Healthcare Research and Quality.

RESULTS:

Literature review provides the basis for clear recommendations on the use of intraoperative PTH at surgery for PHPT. There is little evidence to support the use of RGP, MB, routine frozen section, and intraoperative neuromonitoring.

PMID:
19590891
DOI:
10.1007/s00423-009-0532-6
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer
    Loading ...
    Support Center