Minimally invasive parathyroidectomy under local/sedation

Parathyroidectomy is the removal of one or more of the parathyroid glands to treat hyperparathyroidism (abnormal over-functioning of the parathyroid glands).

The procedure requires the patient to go under general anesthesia, which includes greater risks and requires a hospital stay for one or more days.

However, results from a study presented at the 2007 AAO-HNSF Annual Meeting & OTO EXPO indicate that this procedure can be done under local anesthesia, avoiding potential problems of general anesthesia, possible intubation complications, and post-op nausea/vomiting. The prospective study included 168 patients with primary hyperparathyroidism undergoing parathyroidectomy under local anesthesia with intravenous sedation.

Findings of the study indicate that by utilizing a targeted approach, local sedation can be used safely and successfully in parathyroidectomy and is preferred by most patients. Additionally, procedures done under local anesthesia reduces operative time and may have cost-saving potential regarding hospital stays.