The parathyroid glands control the calcium level in your body. When these glands malfunction, patients typically present with hypercalcemia (an abnormally high calcium level). Patients with hyperparathyroidism also can suffer from kidney stones, bone pain, osteopenia or osteoporosis, and depression.
Primary hyperparathyroidism is usually due to either a single parathyroid tumor (parathyroid adenoma) or to enlargement of all four parathyroid glands (parathyroid hyperplasia). Both of these problems are treated with surgical excision, parathyroidectomy.
Pre-operative workup for hyperparathyroidism is essential to best-practice parathyroid surgery. This may include ultrasound, nuclear medicine scan (Sestamibi scan) or CT scan.
There are two main types of surgery done for abnormal parathyroid glands: traditional parathyroidectomy with four gland exploration and minimally invasive parathyroidectomy.
Traditional parathyroidectomy: This approach involves visualizing all four glands through a small incision in the neck. Once the abnormal gland is identified, it can be removed. This surgery often is combined with intra-operative PTH monitoring.
Minimally invasive parathyroidectomy: In this procedure, the abnormal parathyroid gland is located pre-operatively by pre-op imaging studies. The surgeon experienced in minimally invasive surgery can then remove the affected gland through a small incision. This surgery sometimes can be done under local anethesia. Intra-operative PTH monitoring is essential. At The Longstreet Clinic Department of Surgery, our surgeons have extensive experience in minimally invasive parathyroidectomy.
We understand that choosing a surgeon for your parathyroid procedure is a process based on trust and the knowledge that your physician genuinely cares about what is best for your individual case. Our team of surgeons prides themselves on treating each patient as a unique and individual case that requires a unique and individual treatment process. We look forward to sitting down with you and determining the best course of care to treat your parathyroid condition through the most appropriate surgical procedure available.
The Longstreet Clinic, P.C., incorporated in 1995, is a fully-integrated multi-specialty medical group owned and managed by physicians. The group has grown to over 750 employees including 200 physicians and advanced practice providers. We treat patients in the following specialties: internal medicine, pediatrics, family medicine, obstetrics, gynecology, adult and pediatric inpatient medicine, general surgery, oncology, hematology, physiatry, orthopaedics, sports medicine, neonatology, perinatology, allergy and immunology, neurology, neurosurgery, vascular surgery, colorectal surgery, bariatric surgery and medical weight loss. The Longstreet Clinic is repeatedly ranked by the Atlanta Business Chronicle as one of the largest physician group practices in Georgia, and one of the largest independent group practices. With its main campus located in Gainesville, TLC providers also see patients at offices in Baldwin, Buford, Braselton, Cleveland, Dahlonega, Demorest, Oakwood, and Toccoa. The Longstreet Clinic, P.C. Doctors you know. Care you trust. Internet
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