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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Brumund, Kevin T. Bouvet, Michael Chakedis, Jeffery M. Maser, Christina |
| Description | Author Affiliation: Chakedis JM ( Department of Surgery, University of California, San Diego, La Jolla, California, USA.); Maser C ( Department of Surgery, UCSF Fresno Medical Education Program, Fresno, California, USA.); Brumund KT ( Department of Surgery, University of California, San Diego, La Jolla, California, USA.); Bouvet M ( Department of Surgery, University of California, San Diego, La Jolla, California, USA.) |
| Abstract | Re-operative neck surgery for hyperparathyroidism is a technically difficult operation that requires adjunctive studies to assist with finding the parathyroid tissues. Intraoperative tests help minimise exploration of the neck and decrease injuries to the surrounding structures. Indocyanine green is a near-infrared fluorescent dye that in pre-clinical models was found to be useful in locating the parathyroid glands of dogs. No study has yet reported its use as a tool for parathyroid localisation in humans. We investigated the use of indocyanine green to assist with localisation of a recurrent parathyroid adenoma using a near-infrared imaging system. After exposure of the neck tissues, the parathyroid gland fluoresced brightly and directed our dissection. Exploration of the neck was minimal, and allowed for fast localisation and excision of the adenoma. Overall, use of indocyanine green is a simple and safe technique of intraoperative parathyroid localisation that warrants further investigation. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Hyperparathyroidism Surgery Parathyroidectomy Methods Aged Diagnosis, Differential Female Humans Indocyanine Green Optical Imaging Reoperation Surgery, Computer-Assisted Tomography, X-Ray Computed Treatment Outcome Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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