TY - CHAP M1 - Book, Section TI - Chapter 9. Persistent and Recurrent Hyperparathyroidism A1 - Smith, G. Scott A1 - Prinz, Richard A. A2 - Morita, Shane Y. A2 - Dackiw, Alan P. B. A2 - Zeiger, Martha A. PY - 2010 T2 - McGraw-Hill Manual: Endocrine Surgery AB - Primary hyperparathyroidism (PHPT) is the second most common disease treated by endocrine surgeons, with more than 100,000 new cases diagnosed annually in the United States.1 Success rates for treating hyperparathyroidism are regularly reported to be in excess of 95% in the hands of experienced parathyroid surgeons. However, these rates decrease to approximately 70% when the initial surgery is performed by an inexperienced surgeon.2 The morbidity associated with the initial operation for PHPT performed by a high-volume surgeon is minimal. Despite the excellent results reported for initial parathyroidectomies, those reported for reoperations are less impressive. After a failed initial operation, the success rate decreases, and the morbidity increases regardless of the experience of the operating surgeon. Claude Organ, MD, has been quoted as saying: "The decision to operate is the second hardest decision in surgery. The decision to reoperate is the hardest." SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=6162874 ER -