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Health Information
Division of
Endocrine and Oncologic Surgery
Doug Fraker
Dr. Fraker
Dr.Giorgos Karakousis
Dr. Kelz
Dr. Robert Roses
Dr. Roses
Dr. Heather Wachtel
H. Wachtel

Patients with hyperparathyroidism often require surgical exploration to remove abnormal glands. Patients with hyperparathyroidism can be candidates for minimally invasive surgery. Before surgery, special x-ray tests are performed to locate the abnormal parathyroid tissue. Minimally invasive parathyroid surgery can be performed using local numbing medicine and sedation or general anesthesia. In order to be sure of a cure, we use intra-operative parathyroid hormone monitoring during the procedure. Minimally invasive parathyroidectomy is usually performed as an outpatient procedure.

In patients with familial syndromes, kidney failure or a history of kidney failure and those patients in whom the abnormal gland can not be located before surgery using special x-rays, we remove the abnormal glands that are found during surgery. We leave behind a piece of a parathyroid gland so that you will have normal parathyroid function after the surgery. This is the traditional operation performed for hyperparathyroidism. The procedure requires a general anesthetic for pain control and comfort during the operation. Some patients will require an inpatient stay in the hospital following the traditional operation.

Inpatient Facilities:
Hospital University of Pennsylvania (HUP)

Office Visit Locations:
Perelman Center for Advanced Medicine, West Pavilion, 4th Floor

Making an Office Visit Appointment:
215-615-5858 or 800-789-PENN

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