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Technique of parathyroidectomy.

The goal of the surgical treatment of primary hyperparathyroidism is ablation of the proper amount of hyperfunctioning tissue. This paper presents our operative technique based on an experience in the treatment of 190 patients with primary hyperparathyroidism. The technique is based on a complete knowledge of the anatomy of the normal parathyroid gland as well as the pathology in primary hyperparthyroidism. We also propose a systematic and methodical search for possible abnormal locations incorporating a thorough knowledge of the specific embryology.