Patients from around the world come to the New York Center for Advanced Parathyroid Surgery. We perform the latest in pre and post-operative testing techniques. Our parathyroid surgical techniques are minimally invasive, helping patients recover faster with minimal scarring.

There is uniform agreement in the medical profession that persons diagnosed with primary hyperparathyroidism require surgery for removal of the abnormal parathyroid adenoma. You may not be experiencing any of the common signs or symptoms such as bone pain, kidney stones, or abdominal discomfort; nevertheless, the constantly elevated parathyroid hormone level is causing thinning of your bones and abnormally elevated calcium. Ultimately, this leads to osteoporosis, which may result in bone fractures in later years of life. The "wait" strategy is no longer considered a reasonable option for most people.

Intraoperative parathyroid hormone (IOPTH) monitoring is a relatively new test that we use at the New York Center for Advanced Parathyroid Surgery. With this new rapid test, we measure the parathyroid hormone level in the bloodstream before and after we remove the parathyroid adenoma. This very specialized test is available at only a few medical centers.

Traditional vs Minimally Invasive Surgery

The traditional parathyroid operation technique requires the parathyroid surgeon to place a large incision in the neck to locate and examine the four parathyroid glands located behind the thyroid. The tumorous gland or glands are then located and removed. Patients that opt for traditional surgery require at least one night of hospitalization. In the end, the patient is left with a larger inch scar on the neck.

The New York Center for Advanced Parathyroid Surgery uses a different surgical approach. We perform minimally invasive parathyroid surgery. This is an outpatient procedure that requires an incision of only a one-inch or less, and the procedure can be performed in less than half an hour.

Preoperative parathyroid imaging and localization of the abnormal parathyroid tumor enables a minimally invasive or "mini-incision" approach to the parathyroid glands. Finding the tumor before incision allows us to make a smaller incision without the need to do a traditional neck exploration. A 2cm incision is made directly over the abnormal parathyroid gland. Because over 90% of patients with primary hyperparathyroidism have a single parathyroid adenoma, it's usually not necessary to explore all four glands.

The focused lateral mini-incision parathyroid surgery approach provides the most direct access to the parathyroid glands with a minimum of tissue manipulation. A 2cm incision is made directly over the abnormal parathyroid gland. Because over 90% of patients with primary hyperparathyroidism have a single parathyroid adenoma (tumor of the parathyroid glands) it is not necessary to explore all 4 glands in most cases. A successful preoperative parathyroid imaging localization of a single parathyroid adenoma is necessary for us to use this approach. In addition, the patient's neck skin anatomy should demonstrate that the lateral parathyroid surgery approach is aesthetically superior to a midline mini-incision. Each case is judged individually. In some cases, it is decided that the best approach is midline.

The Midline Parathyroid Surgery Approach

There are cases where we decide a mid-line incision would be more advantageous. If there are multiple adenomas, we use this parathyroid surgery approach as we may require access to visualize both sides of the neck. If preoperative imaging does not demonstrate the adenoma, we use this approach, as a bilateral traditional neck exploration may be necessary. If there is concurrent thyroid disease or nodules that need exploration or surgical intervention, then we use a midline approach.

Parathryoid Surgery in Less Time with Faster Recovery

The New York Center for Advanced Parathyroid Surgery will help you every step of the way – from imaging procedures to concierge services to providing assistance in travel and lodging accommodations.

Over 90% of our surgeries are completed in less than 30 minutes. This also enables a shorter hospital stay. However, the length of the procedure is less important than ensuring that your surgery is performed meticulously and safely.

Although most patients can go home the same day, we will not discharge a patient who needs observation. Your safety and comfort are paramount.

Serving New England and Beyond

The New York Center for Advanced Parathyroid Surgery is located approximately 1 hour north of Manhattan in the scenic Warwick Valley, New York. This serene environment lends itself to healing and recuperation after your surgery. We operate on patients from New York, New Jersey, Connecticut, Pennsylvania, Massachusetts and throughout the United States. Patients from around the world come to us for parathyroid removal surgery.

WE ACCEPT AND WILL WORK WITH ALL MAJOR UNITED STATES INSURANCE PLANS.

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