Minimally Invasive Parathyroid Surgery
The earliest surgeries to remove diseased parathyroid glands were performed more than 80 years ago. Needless to say, there have been great advances in our understanding of the disorder and how best to treat it. Dr. Krevitt and his team perform the latest, most technologically advanced surgical procedures.
When the Sestamibi Scan is used to precisely locate the enlarged glands, the surgeon makes a mere one-inch incision over the identified area, compared to the more standard six- to 10-inch incision that would expose more of the neck. As the incision is so small, the patient receives only local anesthesia. A small probe is inserted into the incision to find and remove the gland, a process that takes less than 30 minutes to perform, allowing the patient to be typically released within one hour. Most can return to their regular routine the following day.
NYOG surgeons use a focal or unilateral exploration whenever possible for the treatment of primary hyperparathyroidism. Pre-operative assessment is tantamount to planning the extent of appropriate surgery. Often times, surgical findings necessitate a more extensive bilateral exploration. Partial, subtotal, or near total exploration is often necessary.
When undergoing surgery to remove diseased parathyroid glands without benefit of a Sestamibi Scan, the patient receives general anesthesia as an incision of approximately four centimeters must be made in the neck. The procedure to locate and remove the diseased glands takes approximately one to two hours to complete. Dr. Krevitt and our surgeons use the intaoperative rapid parathyroidism assay in all cases to manage the scope of the surgery necessary for cure. Patients are hospitalized overnight to ensure proper healing and are typically released the following day.