The treatment that you receive depends on the severity and type of hyperparathyroidism that you have as well as your age. Mild cases of primary hyperparathyroidism may just need regular monitoring by your doctor. If your calcium levels should increase, surgery to remove the gland or glands may be necessary. The parathyroid glands may be removed with traditional open surgery or minimally invasive parathyroidectomy (MIP).
Traditional surgery involves using a large incision to reach and explore the glands. The newer procedure, MIP, is less invasive and performed through a small incision. The abnormal gland is identified prior to surgery with a Sestamibi test and neck ultrasound. A short-acting general anesthesia and local anesthesia are used for the surgery. MIP surgery is associated with a quicker recovery time than traditional surgery. MIP surgery may require an overnight stay or some people may go home on the same day. Traditional surgery typically requires a stay of a few days in the hospital.
Secondary hyperparathyroidism is treated with calcium and vitamin D. Any underlying medical conditions are controlled as much as possible. Prescription medications maybe used to help reduce the excess parathyroid hormone production in people with kidney failure.
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