{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T05:33:52Z","timestamp":1761975232833,"version":"3.37.3"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/100007875","name":"Tulane University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007875","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Minimally Invasive Surgery"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Reoperative parathyroid surgery for primary hyperparathyroidism can be challenging. Numerous preoperative localization techniques have been employed to facilitate a more focused surgical exploration. This paper describes a novel, minimally invasive, and highly successful method of parathyroid localization.<jats:italic>Methods<\/jats:italic>. Patients with recurrent or persistent primary hyperparathyroidism underwent parathyroidectomy following CT scan or ultrasound-guided wire localization of the parathyroid. Accurate placement was confirmed by fine-needle aspiration with immunocytochemistry or PTH washout. The guide wire was left<jats:italic>in situ<\/jats:italic>to guide surgical excision of the gland. Curative resection was established by monitoring intact serum PTH levels after excision of the adenoma.<jats:italic>Results<\/jats:italic>. All ten patients underwent successful redo-targeted parathyroidectomy. Nine of the ten patients were discharged on the day of surgery. One patient was observed overnight due to transient postoperative hypocalcemia, which resolved with calcium supplementation.<jats:italic>Conclusion<\/jats:italic>. Placement of a localization wire via preoperative high-resolution ultrasound or CT can expedite reoperative parathyroid surgery. It allows identification of parathyroid adenoma via a minimally invasive approach, especially in cases where a sestamibi scan is inconclusive.<\/jats:p>","DOI":"10.1155\/2011\/487076","type":"journal-article","created":{"date-parts":[[2011,9,21]],"date-time":"2011-09-21T07:52:34Z","timestamp":1316591554000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Preoperative Parathyroid Needle Localization: A Minimally Invasive Novel Technique in Reoperative Settings"],"prefix":"10.1155","volume":"2011","author":[{"given":"Ryan","family":"Winters","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Tulane University School of Medicine, New Orleans, LA 70112, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Friedlander","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Tulane University School of Medicine, New Orleans, LA 70112, 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