Intraoperative Parathyroid Hormone Assay
نویسندگان
چکیده
منابع مشابه
Intraoperative Parathyroid Aspiration and Parathyroid Hormone Assay During Parathyroidectomy for Primary Hyperparathyroidism.
BACKGROUND Direct aspiration from suspected pathological tissue and rapid parathyroid hormone analysis may offer a reliable, cost effective alternative to currently used "gold standard" tests. OBJECTIVES To validate the accuracy of intraoperative measurements of parathyroid hormone levels in parathyroid adenomas. METHODS A prospective study included 22 patients diagnosed with primary hyperp...
متن کاملA Comprehensive Review of Intraoperative Parathyroid Hormone Monitoring A Comprehensive Review of Intraoperative Parathyroid Hormone Monitoring
Intraoperative parathyroid hormone monitoring (IOPTH) has changed the surgical approach to primary hyperparathyroidism (PHPT). The traditional approach for the treatment of PHPT is a bilateral neck exploration (BNE), which entails the identification of all parathyroid glands and resection of the abnormal glands. However, with the advent of improved surgical adjuncts, including preoperative ultr...
متن کاملIntraoperative parathyroid hormone assay for management of patients undergoing total thyroidectomy.
BACKGROUND Rapid parathyroid hormone (PTH) assay has been applied to predict hypocalcemia after thyroidectomy compared with conventional close monitoring of serum calcium levels. We evaluated the reliability of intraoperative intact PTH (ioPTH) assay to predict hypocalcemia after total thyroidectomy and sought to develop an algorithm for the management of postthyroidectomy patients. METHODS R...
متن کاملA spike in parathyroid hormone during neck exploration may cause a false-negative intraoperative assay result.
HYPOTHESIS We hypothesize that false-negative results using the rapid intraoperative parathyroid hormone (IOPTH) assay can be caused by spikes in the level of parathyroid hormone that occur during mobilization of the adenoma. DESIGN Retrospective analysis of a case series. SETTING University tertiary care center. PATIENTS Ten consecutive patients with primary hyperparathyroidism. INTERV...
متن کاملCost-benefit analysis of the intraoperative parathyroid hormone assay in primary hyperparathyroidism.
BACKGROUND The purpose of this study was to evaluate the usefulness of the routine intraoperative intact parathyroid hormone (IOPTH) assay, the role of unilateral and bilateral cervical exploration and of preoperative imaging, and to do a cost-benefit analysis in parathyroidectomy for primary hyperparathyroidism. METHODS Two hundred sixty-four patients who underwent operations between January...
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ژورنال
عنوان ژورنال: Archives of Surgery
سال: 2003
ISSN: 0004-0010
DOI: 10.1001/archsurg.138.6.632