INTRODUCTION The prevalence of primary hyperparathyroidism (PHPT) is expected to increase in developed nations as the aged population grows. This review discusses issues related to PHPT in the elderly population with a focus on differences in disease presentation, medical and surgical management, and outcomes. METHODS Literature review of English-language studies of PHPT or parathyroidectomy ...

After a total parathyroidectomy, well-established protocols for the cryopreservation of parathyroid tissue and for the delayed autograft of this tissue exist, especially in cases of secondary hiperparathyroidism (HPT) or familial or sporadic parathyroid hyperplasia. Although delayed autografts are effective, the published success rates vary from 10% to 83%. There are numerous factors that influ...

We evaluated the changes of the bone lesions and their relative bone findings before and after parathyroidectomy in 23 patients with secondary hyperparathyroidism. Before the operation, all patients had bone and/or joint pain. In radiographic findings, subperiosteal bone resorption of the hand and a salt and pepper coloration of the skull were observed in all patients. Rugger jersey spine and t...

OBJECTIVE To evaluate whether perioperative PTH levels or ionized calcium levels are associated with symptomatic hypocalcaemia, in patients undergoing parathyroidectomy for primary hyperparathyroidism. STUDY DESIGN Prospective noncontrolled study of a cohort of 100 patients, undergoing parathyroidectomy at a single tertiary care medical centre. METHODS Prospectively collected data from Janu...

OBJECTIVES/HYPOTHESIS Routine identification of all four parathyroid glands has been advocated as a means of reducing rates of postoperative hypocalcemia and inadvertent parathyroidectomy. The object of the present study was to investigate whether identification of more parathyroid glands during thyroidectomy performed by capsular dissection technique had any impact on incidence of postoperativ...

1. After thyroidectomy with partial parathyroidectomy the maximum and average hemolytic titers of the sera of rabbits injected intravenously with sheep blood are equal to or higher than those of normal animals similarly injected. 2. Thyroidectomy with partial parathyroidectomy does not inhibit antibody production. This fact is in accord with the results of Garibaldi, Launoy and Lévy-Bruhl, Lerd...