Current parathyroid localization techniques have made parathyroidectomy a safe procedure with excellent outcomes.1 However, despite the use of anatomical and functional imaging techniques, a hyperfunctioning adenoma may not be determined preoperatively. If intraoperative techniques fail to identify the adenoma,2 isolating a gland from systemic circulation with a microvascular clamp applied to the pedicle is a useful tool to obtain immediate feedback regarding its hormonal contribution.3
Kinberg EC, Gregory JK, Genden E. Targeted Parathyroidectomy—Use of the Atraumatic Microvascular Clamp. JAMA Otolaryngol Head Neck Surg. 2020;146(9):863–864. doi:10.1001/jamaoto.2020.1787
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