MIP is typically performed through a smaller incision than the bilateral exploration, usually 1-3 cm. This technique allows for a much shorter surgery when compared to the traditional surgery that explores both sides of the neck.
MIP is not just one procedure, but a variety of techniques that can be used either alone or in combination. Central components include pre-operative localization, intraoperative PTH testing, radio-guidance, and local anesthesia.
There are several potential advantages of MIP over a bilateral neck exploration, including but not limited to:
- Smaller incision
- Improved cosmesis
- Shorter operative time
- Creation of less scar tissue
- Fewer problems with low calcium levels after surgery
- No risk to nerves and other structures on the “normal” side of the neck
- Less invasive operation means less pain
- Less recuperation time needed
- Less expensive than the standard operation
- Cure rate is higher than the standard operation
- No risk of hypoparathyroidism
