Surgical Management of Primary Hyperparathyroidism

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After the hypercalcemic state has been definitively diagnosed as resulting from primary hyperparathyroidism, little can be offered by way of therapy other than excision of hyperplastic parathyroid tissue. At surgery a major problem often is to locate such tissue; not always an easy task, this requires exploration of both sides of the neck before any glandular substance is removed. The approach is demonstrated in a representative case.