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  • Title: [Clinical aspects, diagnosis and surgical therapy of persistent primary hyperparathyroidism].
    Author: Buhr HJ, Graf S, Herfarth C.
    Journal: Chirurg; 1992 Feb; 63(2):103-8. PubMed ID: 1347265.
    Abstract:
    Between January 1991 and September 1991 424 patients were operated on for hyperparathyroidism (HPT) at the Department of Surgery, University of Heidelberg. In 8.5% of cases a persistent HPT was present. Our own rate of persistence was 5.4%. Ultrasound revealed the pathology in 44.2% while highly selective venous catheterization identified the correct side in 63.4%. 70% of all patients with persistent HPT required one operative revision, the remaining 30% having up to 3 revisions. 27 patients (75%) were operated on successfully. In 12 of these patients an ectopic adenoma was found. The adenoma was not identified intraoperatively in 2 patients (6.9%). One patient sustained permanent damage to the recurrent laryngeal nerve.
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