On the day of surgery, the patient receives an injection of the radiolabelled compound about 1 hour before surgery. At the time of surgery, the surgeon will use a small probe to detect the exact location of the enlarged parathyroid gland. The surgeon will then make a small 0.5 inch to 2 inch incision directly over the parathyroid gland. The surgery can be performed under local or general anesthesia. After removal of the enlarged parathyroid gland, and while the patient is still under anesthesia, the surgeon will perform a blood test checking the patient’s parathyroid hormone level in the operating room. This blood test will allow the surgeon to confirm that all enlarged parathyroid glands have been removed before the patient leaves the operating room.
Most patients go home the same day of surgery but some choose to stay overnight in the hospital and go home the next morning. Dr. Chen has performed more than 1400 MIRPs over the last few years.