Surgical Considerations in Primary Hyperparathyroidism

The chapter delves into the indications for surgery in primary hyperparathyroidism patients with osteopenia, emphasizing the importance of early intervention despite inconclusive data on fracture risk reduction post-surgery. It discusses the suspicion and rarity of parathyroid carcinoma, stressing the need for urgent surgical intervention in cases with extremely high calcium and parathyroid hormone levels. The importance of imaging modalities, PTH monitoring during surgery, post-op monitoring for hypocalcemia, and tapering regimen for patients post-surgery is also highlighted.