Defining failure after parathyroidectomy for XXXX : case series.

@entity1 @entity459 @entity460
OBJECTIVE: To identify the cause of operative failure in @entity1 who have undergone parathyroid surgery for @entity459 . DESIGN: Retrospective case review. @entity1 : @entity1 who had undergone a primary procedure for @entity459 between July 2003 and December 2007. Cases with incomplete post-operative serum @entity460 data were excluded. MAIN OUTCOME MEASURE: Operative failure was defined as failure to achieve normalisation of serum adjusted @entity460 levels post-operatively. RESULTS: A total of 220 primary procedures were conducted over 4.5 years. Data were not available for 16 @entity1 . Thirteen procedures (6.4 per cent) were considered failures, and these cases were individually reviewed and classified according to the reason for failure. CONCLUSION: Establishing the cause of failure following surgery for @entity459 can be a complex task. In some instances, diagnostic uncertainty remains despite detailed biochemical and radiological assessment. This paper outlines our approach to maximising the cure rate at primary surgery.
