Modern Parathyroid Surgery and Intra-Operative Hormone Monitoring; Present Status, Future Concepts

New technologies look for practical applications and complex clinical problems search for innovations able to address them. This convergent course of clinical needs and technological innovation laid foundation for progress and success of modern health care. Our review looks at the present status and future concepts of parathyroid surgery in relation to important technological developments of the last few decades. We focus on describing how parathyroid operations have been transformed by the more accurate imaging and discuss impact of intra-operative PTH monitoring, a “disruptive technology” with a potential to change current clinical paradigm.