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World Journal of Surgery
Published in: World Journal of Surgery 2/2020

Open Access 01-02-2020 | Hypoparathyroidism | Invited Commentary

Invited Commentary: Use of Electrical Impedance Spectroscopy for Intraoperative Tissue Differentiation During Thyroid and Parathyroid Surgery

Author: Jan Zedenius

Published in: World Journal of Surgery | Issue 2/2020

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Excerpt

It is undisputed that, during thyroidectomy, a common problem is to identify the parathyroid glands so that their preservation in situ can be guaranteed. Indeed, hypoparathyroidism is the most common complication following thyroidectomy. For example, central lymph node clearance following thyroidectomy for malignancy carries a substantial risk of unintentional removal of healthy parathyroid glands. Furthermore, unnoticed damage of the vascular supply to the parathyroid glands increases the risk of hypoparathyroidism. …
Literature
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Dudley NE (1971) Methylene blue for rapid identification of the parathyroids. Br Med J 3(5776):680–681CrossRef
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Grubbs EG, Mittendorf EA, Perrier ND, Lee JE (2008) Gamma probe identification of normal parathyroid glands during central neck surgery can facilitate parathyroid preservation. Am J Surg 196(6):931–935CrossRef
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Rudin AV, McKenzie TJ, Thompson GB, Farley DR, Lyden ML (2019) Evaluation of parathyroid glands with indocyanine green fluorescence angiography after thyroidectomy. World J Surg 43(6):1538–1543CrossRef
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DiMarco A, Chotalia R, Bloxham R, McIntyre C, Tolley N, Palazzo FF (2019) Does fluoroscopy prevent inadvertent parathyroidectomy in thyroid surgery? Ann R Coll Surg Engl 101(7):508–513CrossRef
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Metadata
Title
Invited Commentary: Use of Electrical Impedance Spectroscopy for Intraoperative Tissue Differentiation During Thyroid and Parathyroid Surgery
Author
Jan Zedenius
Publication date
01-02-2020
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 2/2020
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-019-05188-4

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