Parathyroid autotransplantation to forearm muscle

(A) Parathyroid fragments on tip of scalpel to be inserted into muscle pocket held open by fine dissecting clamps.
(B) Placement of graft into brachioradialis muscle in nondominant forearm, preferably without dialysis graft in the vicinity.
(C) In a different patient, example of enlarged autograft (arrow) prior to excision for recurrent secondary hyperparathyroidism.