Sestamibi Scans and Intraoperative Parathyroid Hormone Measurement in the Treatment of Primary Hyperparathyroidism

Abstract
In the last decade there has been a major change in surgery for primary hyperparathyroidism (PHPTH). Bilateral exploration (B/L) with identification of all parathyroid glands has been the standard operation with success rates of 95% or more.1-5 Minimally invasive parathyroidectomy (MIP) in which only the single, abnormal parathyroid is identified and excised, with no attempt to visualize the remaining glands, is becoming increasingly popular.6-9