Impact of combined preoperative ultrasonography and sestamibi scan on surgical planning and patient recovery in primary hyperparathyroidism

Abstract

Background: Primary hyperparathyroidism (PHPT) is an endocrine condition that is characterized by the overproduction of PTH, which usually needs surgical treatment. Localization of preoperative adenomas is vital to achieve a successful outcome. Objective: This study aims to determine the effects of preoperative combined ultrasonography and sestamibi scan on surgical planning and postoperative recovery amongst patients of PHPT. Methodology: The study was a cross-sectional design carried out at Bangabandhu Sheikh Mujib Medical University between July 2022 and June 2023 and included 14 patients with biochemically verified PHPT. Preoperative high-resolution ultrasonography of the neck in all patients and technetium-99 m sestamibi scintigraphy also took place. Focused parathyroidectomy under general anesthesia was done and intraoperative assessments of PTH were carried out before and after excision. Clinical data about demographics, imaging, intraoperative correlation, postoperative complications, length of hospital stay, and cosmetic results were recorded and analyzed using SPSS v22 with the threshold of p