Recurrence of Hyperparathyroidism after Total Parathyroidectomy with Autotransplantation: A New Technique to Localize the Source of Hormone Excess
| Autor: | E. Briz, Javier Riancho, Julio G. Cotorruelo, E. Canga, E. de Bonis, A.L.M. de Francisco, José A. Amado, M. Arias, D. Casanova |
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| Rok vydání: | 1991 |
| Předmět: |
Adult
Male Parathyroidectomy medicine.medical_specialty endocrine system diseases medicine.medical_treatment Ischemia Transplantation Autologous Parathyroid Glands Forearm Recurrence medicine Humans Supernumerary Hyperparathyroidism business.industry Incidence Middle Aged medicine.disease Autotransplantation Blockade Surgery surgical procedures operative medicine.anatomical_structure Parathyroid Hormone Female Implant business |
| Zdroj: | Nephron. 58:306-309 |
| ISSN: | 2235-3186 1660-8151 |
| DOI: | 10.1159/000186441 |
| Popis: | The diagnosis of persistent or recurrent hyperparathyroidism after total parathyroidectomy with autograft in the forearm needs a correct assessment of graft function. In 6 patients with relapsing hyperparathyroidism after total parathyroidectomy with forearm implant, total ischaemic blockade of the arm bearing the parathyroid graft, produced a 'temporal implantectomy' with reduction of iPTH in those with graft hyperfunction. In 2 patients with proved supernumerary gland, total ischaemia of the 'graft' was not followed by iPTH changes. Total ischaemic blockade of the arm bearing the parathyroid graft is a valuable method for a correct assessment of graft function. It gives useful information in order to avoid or indicate a reoperation of the neck in patients who had previously undergone parathyroidectomy. |
| Databáze: | OpenAIRE |
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