“The best localization procedure is to localize an experienced parathyroid surgeon”
Since there are normally 4 parathyroid glans present in the neck and only one is affected in primary hyperparathyroidism, localization of the pathologic gland is paramount to limit the potential for complications by too extensive surgery.
While preoperative imaging can identify the pathologic gland in about 90% of cases, experienced parathyroid surgeons will be able to identify the pathologic gland in about 98-99% of cases during surgery. For this reason, a famous American parathyroid surgeon once quipped: “The best localization procedure is to localize an experienced parathyroid surgeon”. Doctor Apffelstaedt has more than 20 years of experience as head of a large academic thyroid/parathyroid clinic and has successfully operated hundreds of parathyroid cases including re-operations for failed localization of parathyroid pathology elsewhere.
Primary hyperparathyroidism can easily be treated with minimally invasive surgery via a “buttonhole” incision in the neck
Minimally invasive parathyroidectomy takes about 15 minutes from start to finish. Undiagnosed or untreated hyperparathyroidism can progress to irreversible complications such as renal failure and hypertension with secondary detrimental effects. Doctor Apffelstaedt has introduced this advanced procedure in South Africa in 2016.