INTRAOPERATIVE IDENTIFICATION OF PARATHYROIDS BY MEANS OF METHYLENE-BLUE

Authors
DEROM A WALLAERT P JANZING H VANDENBRANDE F DEROM F
Citation
A. Derom et al., INTRAOPERATIVE IDENTIFICATION OF PARATHYROIDS BY MEANS OF METHYLENE-BLUE, Acta Chirurgica Belgica, (2), 1994, pp. 97-100
Citations number
NO
Categorie Soggetti
Surgery
Journal title
Acta Chirurgica Belgica → ACNP
ISSN journal
00015458
Issue
2
Year of publication
1994
Pages
97 - 100
Database
ISI
SICI code
0001-5458(1994):2<97:IIOPBM>2.0.ZU;2-I
Abstract
In 134 cervical explorations for hyperparathyroidism, methylene blue w as administered intraoperatively to stain parathyroid glands. Seventy- seven out of 79 adenomas (97.5%) and 199 out of 204 hyperplastic gland s (97.6%) were clearly stained. The only recurrences were observed in patients undergoing surgery for hyperplasia of the parathyroid glands. The recurrences (12%) were mainly due either to initial wrong diagnos is of parathyroid adenoma, or they were graft dependent. Methylene blu e is an effective, safe and easy way to localize and identify abnormal parathyroid glands, thereby improving the results and shortening the operating time.