IMAGING AND SURGERY IN HYPERPARATHYROIDISM - A 10-YEAR REVIEW

A 10-year review (1984 to 1994) of patients undergoing surgical treatm ent for hyperparathyroidism at St. Joseph's Health Centre in London, O ntario, is presented. The role of preoperative localization is discuss ed. We review our experience with the various imaging modalities and t heir usefulness in the surgical decision-making process. Our experienc es with the surgical management of both primary and secondary hyperpar athyroidism are evaluated. Controversies in parathyroid surgery, unila teral versus bilateral neck exploration for parathyroid adenomas, and autotransplantation versus total parathyroidectomy for secondary hyper parathyroidism are discussed and our approach is explained.