Annotation The aim is to justify the need for a routine examination of the function of the parathyroid glands in all patients before thyroid surgery. Materials and methods The analysis of 249 patients who underwent thyroid surgery was carried out. All patients were divided into 2 groups. The main criterion for division is a routine assessment of the function of the parathyroid glands before thyroid surgery. In each group, we assessed the need for interventions on the parathyroid glands. Results In 3 patients of group I, in the period 3-5 months after thyroid surgery, an “unreasonable” increase in blood calcium levels was revealed. Upon further examination, laboratory and clinical signs of primary hyperaparthyroidism were revealed in them. These patients (2.1%) required surgery on the parathyroid gland. There were no such patients in the second group. According to the results of preoperative examination in group II, an increase in parathyroid hormone levels was detected in 32 (28%) patients. Parathyroid adenomas were confirmed in 9 (28%) of 32 patients with hyperparathyroidism. At the same time, according to ultrasound, adenomas were visualized only in 5 (56%). In retrospective analysis, all 9 patients showed signs of damage to target organs without pronounced clinical manifestations. All these 9 patients underwent simultaneous intervention on the thyroid and parathyroid glands. In this group of patients, the frequency of simultaneous operations was 8% (p 0.001). Conclusion Before performing surgery on the thyroid gland, it is advisable for all patients to conduct a routine examination of blood calcium and parathyroid hormone to determine the indications for surgery on the parathyroid gland. With this approach, laboratory and clinical signs of primary hyperparathyroidism can be detected in 8% of patients with thyroid pathology, which requires simultaneous operations. Key words: hyperparathyroidism; calcium; nephrolithiasis; parathyroid hormone; parathyroidectomy; thyroid gland. Conflict of interest: none.
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