Clinical Management of Primary Hyperparathyroidism

Postoperative Care and Long-Term Follow-Up

Primary hyperparathyroidism (PHPT) is a condition characterized by excessive secretion of parathyroid hormone (PTH), leading to hypercalcemia. Surgical intervention, specifically parathyroidectomy, is the primary treatment for symptomatic and selected asymptomatic cases.

Postoperative Care

• Monitoring Serum Calcium Levels: Post-surgical hypocalcemia is a common transient complication. Regular monitoring is necessary.
• Vitamin D and Calcium Supplementation: Patients may require temporary supplementation to stabilize calcium levels.
• Hydration and Diet: Adequate hydration and dietary calcium intake help in recovery.
• Assessment for Complications: Risks include hungry bone syndrome, vocal cord damage, and infection.

Long-Term Follow-Up

• Regular Endocrinological Assessments: Ongoing evaluation ensures normal parathyroid function and calcium homeostasis.
• Bone Health Monitoring: Bone mineral density scans help track osteoporotic risks.
• Renal Function Evaluation: Kidney health is monitored to prevent nephrolithiasis.
• Lifestyle Modifications: Exercise and diet adjustments may be needed for long-term wellness.

Effective management of PHPT requires an integrated approach, ensuring optimal surgical outcomes and sustained postoperative health.