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World Journal of Surgery

Published in:

01-01-2014

Ultrasound-Guided Methylene Blue Dye Injection for Parathyroid Localization in the Reoperative Neck

Authors: Leah Candell, Michael J. Campbell, Wen T. Shen, Jessica E. Gosnell, Orlo H. Clark, Quan-Yang Duh

Published in: World Journal of Surgery | Issue 1/2014

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.

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Title: Ultrasound-Guided Methylene Blue Dye Injection for Parathyroid Localization in the Reoperative Neck
Authors: Leah Candell
Michael J. Campbell
Wen T. Shen
Jessica E. Gosnell
Orlo H. Clark
Quan-Yang Duh
Publication date: 01-01-2014
Publisher: Springer US
Published in: World Journal of Surgery / Issue 1/2014
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-013-2234-z

At a glance: The STEP trials

Springer Medicine

Ultrasound-Guided Methylene Blue Dye Injection for Parathyroid Localization in the Reoperative Neck

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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