Surgery for primary hyperparathyroidism
نویسندگان
چکیده
منابع مشابه
Radioguided surgery in primary hyperparathyroidism.
UNLABELLED Surgical neck exploration is usually made in primary hyperparathyroidism (PHPT). Localization of the adenoma or detection of hyperplasia may reduce the operation period and limit the extent of the surgery. In this study the effficacy of preoperative Tc-99m MIBI scintigraphy and intraoperative gamma probe was evaluated. MATERIALS AND METHODS Six patients with PHPT had preoperative T...
متن کاملRisk factors for postoperative hypocalcemia after surgery for primary hyperparathyroidism.
HYPOTHESIS A variety of clinical and biochemical variables may be associated with hypocalcemia after surgery for parathyroid adenoma. DESIGN A prospective study of patients who underwent surgery for solitary parathyroid adenoma. SETTING A university hospital department of surgery. PATIENTS Eighty-six consecutive patients who underwent surgery for solitary parathyroid adenoma. INTERVENTI...
متن کاملRe-explorative Parathyroid Surgery for Persistent and Recurrent Primary Hyperparathyroidism
Primary hyperparathyroidism (HPT) is treated by parathyroidectomy. Excision of abnormal parathyroid tissue is curative in the majority of cases. Postoperative persistent or recurrent HPT has been reported up to 30%. The purpose of this study was to evaluate the role of imaging techniques and determine the efficacy of reexplorative surgery. A total of 306 patients underwent parathyroidectomy bet...
متن کامل99mTc-sestamibi and minimally invasive radioguided surgery for primary hyperparathyroidism.
The management of primary hyperparathyroidism is not without controversy. There is controversy as to which imaging technique (if any) should be used to localize a parathyroid adenoma (1,2). There is controversy as to when surgery should be recommended in an asymptomatic patient; although some would argue that all patients are symptomatic but simply do not realize it! There is also controversy a...
متن کاملMedication discontinuation after curative surgery for sporadic primary hyperparathyroidism.
BACKGROUND Although parathyroidectomy (Ptx) for sporadic primary hyperparathyroidism (PH) improves comorbidities and symptoms, routine Ptx for minimally symptomatic PH remains controversial. Whether successful Ptx translates into discontinuation or dose-reduction of prescribed medications is unknown. METHODS Consecutive patients undergoing curative Ptx for sporadic PH from January 2007 to Apr...
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ژورنال
عنوان ژورنال: BMJ
سال: 2002
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.325.7368.785