Complications - Excision of solitary parathyroid adenoma

  1. Intraoperative complications

    • Bleeding
    • Manage massive intraoperative hemorrhage (e.g., from the Kocher vein or inferior thyroid artery) first by packing, then identify the bleeder under continuous suction, clamp and ligate it.
    • Adenoma not identified or inadequate drop in IOPTH level from baseline.
    • No altered parathyroids found or no parathyroids found at all→bilateral exploration→extended cervical exploration→ termination of procedure and extended diagnostic work-up.
Postoperative complications

Secondary bleedingDeep secondary bleeding may compress the trachea and vagus nerve, thereby resulti

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