Minimally invasive parathyroidectomy

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