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World J Surg. 2014 Jan;38(1):88-91. doi: 10.1007/s00268-013-2234-z.

Ultrasound-guided methylene blue dye injection for parathyroid localization in the reoperative neck.

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1
General Surgery, University of California, San Francisco-East Bay, Oakland, CA, USA.

Abstract

BACKGROUND:

The goal of this study was to review a single institution's experience using intraoperative ultrasound-guided (ioUSG) methylene blue dye injection for the localization and removal of enlarged parathyroid glands in patients with primary hyperparathyroidism and a history of previous neck surgery.

METHODS:

We performed a retrospective review of nine consecutive patients who underwent reoperative parathyroidectomy using ioUSG methylene blue dye injection.

RESULTS:

All patients had successful resolution of their hyperparathyroidism, with at least a 50 % decrease in intraoperative parathyroid hormone level after resection. One patient had transient recurrent laryngeal nerve paresis. There were no permanent recurrent laryngeal nerve injuries or cases of permanent hypoparathyroidism.

CONCLUSIONS:

Blue dye injection is a safe and effective method of localizing diseased parathyroid glands in the reoperative neck.

PMID:
24132819
DOI:
10.1007/s00268-013-2234-z
[Indexed for MEDLINE]
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