RESUMO
Eight patients with primary hyperparathyroidism were surgically treated during the period from 1990-1992 inclusive in Endocrine surgery Unit of Mansoura University Hospital, Mansoura, Egypt In all patients, the clinical diagnosis was confirmed biochemically. Different method of investigations were performed and this included skeletal survey, ultrasonography and neck scanning patients were classified into two groups. Group I: Included six patients, the cause of primary hyperparathyroidism was hyperplasia.Total parathyroidectomy and auto transplantation in the forearm muscles marked by silver clips was done in four patients, the remaining two patients were subjected to removal of three and half of parathyroids and the remaining half was left in situ. Group II : Included two patients the cause of primary hyperparathyroidism was adenoma and they were subjected to surgical removal of the adenoma with biopsy of the remaining parathyroids in one patient.In all patient [group I and II], There was marked clinical improvement and serum calcium and P. T.H. returned to near normal levels postoperatively while hypocalcaemia was detected in one patient with resected adenoma to whom biopsy of the remaining parathyroids was done