Our Parathyroid Surgery Approach
At the New York Center for Advanced Parathyroid Surgery, we perform the latest in minimally invasive parathyroid surgical techniques. Minimally invasive parathyroid surgery is an outpatient procedure that requires just a one-inch incision and can be performed in less than half an hour. In addition, patients recover faster with minimal scarring. We welcome patients from around the world.
Our Parathyroid Surgical Technique
The focused lateral mini-incision parathyroidectomy provides the most direct access to the parathyroid glands with a minimum of tissue manipulation.
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 parathyroid surgery approach is midline.
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.
Finally, the neck is bandaged and the patient is ready to go home. Because the operation is performed quickly and with limited dissection, patients can usually leave the hospital the same day. Overall pain is minimal, and the bandage is left in place for about a week.
Best of all, scarring is minimal. Scar appearance improves over the six months after surgery. In the end, many scars are difficult to see.
We are focused on only one type of surgery: Parathyroid Surgery. This enables us to maintain our superior results while providing personalized care for every patient we treat.
WE ACCEPT AND WILL WORK WITH ALL MAJOR UNITED STATES INSURANCE PLANS.
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