Surgical Techniques and Adjuncts in Hyperparathyroidism

Parathyroid surgery has evolved significantly since its inception and is associated with many pivotal discoveries that have advanced the field. From the discovery of parathyroid glands to the intraoperative measurement of parathyroid hormone this endocrinopathy continues to produce new and innovative techniques to optimize patient outcomes. This chapter describes the historical highlights that have facilitated our current practices in parathyroid surgery, the surgical approaches that have been developed including the role of intraoperative parathyroid hormone (ioPTH) measurements, and additional intraoperative adjuncts that have been developed to maximize surgical cure and minimize patient morbidity.