Behind the thyroid gland in the neck are the 4 small parathyroid glands work to make the parathyroid hormone (PTH), which controls calcium levels in the body. Too little PTH causes the body to develop hypoparathyroidism and calcium will be taken from the bones. Too much PTH causes hyperparathyroidism (also known as hypercalcemia), which overproduces calcium in the body. The excess calcium in the body can cause kidney stones and kidney failure, so a parathyroidectomy is performed to remove all or part of the parathyroid. If only one parathyroid is abnormal, a partial parathyroidectomy can remove the one gland that is causing problems. However, if the entire parathyroid is enlarged (a condition known as parathyroid hyperplasia) a total parathyroidectomy will be performed to remove all 4 parathyroid glands. Patients who have been diagnosed with hyperparathyroidism or another parathyroid disease should schedule a consultation at Arizona Premier Surgery to learn more about their surgical options from a qualified surgeon.
"I was referred to Dr. Albert Amini following a ct scan. He professionally went over the results with me. His caring nature assured me that the results were probably non-evasive. He suggested a follow-up mri in 6 months. During my follow-up appointment, his caring professional demeanor asked me that son was alright. Dr. Amini sat with me, described the images of the mri, and gave me his professional opinion of the results of the scan."- H.F. / Yelp / Jan 19, 2018
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"Dr. Amini, you did it!! A year later 06/09 and things definitely have turned around for me. After 9 years of pain and suffering because no other providers could find the problem with me, Dr Thosani did and he call you while I was still under during my endoscopy to discuss the findings and you took me as a patient and did the surgery. At first I was very nervous, it was the second time around for the same thing so yes I questioned can you do this because like it was mentioned to me it was risky but you were so confident as a provider that I felt so relieved after talking to you and you told me "if it worked, you tell me". After my follow-up up I remembered crying in his office with my son there because in just those few weeks I noticed some difference in my stomach, something that I had not been able to see in 9 years!!! So here I am saying thank you, and when people hear my story I gladly say Dr Amini and Dr Thosani gave me a second chance."- J.V. / Google / Jun 09, 2021
"My Mama, who just turned 89, had Dr Amini (and Dr. Thosani) repair a hiatal hernia which was 4 times the size it should be, moved her stomach back to her chest and she has done amazingly well postop. In fact, she never even had a twinge of pain or had to take any pain meds...none!!! Dr. Amini, and Dr. Thosani are simply the “best of the best” and that’s why I included them in my website, The Door Openers. This is my new biz that showcases the finest in a multitude of areas and personally vetted by me. I’ve referred many people to them and will continue to do so. Also, the people in the office are fabulous too!!!"- L.L. / Google / May 21, 2021
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Common Reasons for Surgery
Once the parathyroid become enlarged and begins to overproduce PTH (a condition known as parathyroidism or hypercalcemia), the most definitive treatment is a total parathyroidectomy. By removing the parathyroid glands, the levels of calcium in the blood can normalize. If only one of the parathyroid glands is abnormal, a partial parathyroidectomy (also known as a minimally invasive parathyroidectomy) can be performed for a shorter surgery that needs less recovery time.
Secondary hyperparathyroidism starts with kidney failure, which causes high levels of PTH in the blood. Removing part or all of the parathyroid can balance the calcium levels in the body and improve the function of the kidney.
When the body's calcium levels are high, it can cause calcium phosphate stones, commonly known as kidney stones. It is important to determine the cause of kidney stones in a patient because if it is caused by hyperparathyroidism, a parathyroidectomy can be a good treatment option.
When a tumor (adenoma) appears on the parathyroid, it may need to be removed with a parathyroidectomy. Even though most tumors on the parathyroid are benign and do not develop into cancer, removing the parathyroid may be a preventative measure for patients who have or had thyroid cancer.
A traditional parathyroidectomy requires the surgeon to make an incision in the neck so the parathyroid can be seen and assessed. During this bilateral neck exploration, the surgeon will be able to remove any diseased parathyroid glands. A partial parathyroidectomy can be performed with an endoscope, using 2 – 3 small incisions to remove the needed glands. In some cases, the total or partial removal of the parathyroid gland may require the patient to take calcium supplements to prevent hypoparathyroidism (a condition where the body makes too little calcium).
What to Expect
A total or partial parathyroidectomy usually takes about 2 hours and it is performed as an out-patient surgery. The patient should be able to leave the same day as their surgery to begin their 2-week recovery at home. Patients should have a follow up appointment with their doctor 2 weeks after their surgery for a progress check, calcium levels, and to discuss any needed next steps.
Plan Your Procedure
- Recovery Time
- 2 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Safe Removal Surgery
If you have symptoms of hyperparathyroidism (fatigue, nausea, bone fractures, kidney stone, excessive thirst, and more), please schedule an appointment at Arizona Premier Surgery to learn more about the disease and if a parathyroidectomy is a good option for your needs.