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Surgery

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Question:

How is surgical care part 2?

Author: H K



Answer:

With sestamibi scanning or US, an abnormal parathyroid detected =70-80% of cases -Intraop PTH assay -Because the plasma half-life of PTH=approximately 4 mins, the level falls quickly after resection of the source -If the level fails to fall after resection of the identified abnormal gland, the procedure is extended to allow for further exploration -A few authors have advocated radio-guided parathyroidectomy, detecting the labeled sestamibi in the abnormal gland using a handheld probe


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H K
H K