Surgical treatment of hyperparathyroidism
| Autor: | Richard H. Egdahl, Aun F |
|---|---|
| Rok vydání: | 1977 |
| Předmět: |
Hyperparathyroidism
medicine.medical_specialty endocrine system diseases Hypocalcemia business.industry Postoperative complication Vascular surgery medicine.disease Asymptomatic Surgery Parathyroid Neoplasms Postoperative Complications Cardiothoracic surgery medicine Humans Secondary hyperparathyroidism Hyperparathyroidism Secondary Vocal cord paralysis medicine.symptom business Vocal Cord Paralysis Abdominal surgery |
| Zdroj: | World journal of surgery. 1(6) |
| ISSN: | 0364-2313 |
| Popis: | A dramatic rise in the number of diagnosed cases of hyperparathyroidism has been accompanied by significant progress in diagnostic and management techniques. Indications for parathyroid surgical exploration have been established for cases presenting with hypercalcemia and any of several clinical syndromes. Asymptomatic or mildly symptomatic patients with the disease can be followed for longer intervals prior to surgery, but surgical treatment is recommended. Normocalcemic hyperparathyroidism with repeated renal stones exists as a disease entity and further investigation is needed to determine guidelines for operative treatment. Surgery is reserved for medically intractable cases in secondary hyperparathyroidism. The surgical strategy should be based on the identification of all glands and, with few exceptions, only abnormal tissue should be resected. Mediastinal explorations are rarely needed and should always be preceded by careful localization studies. Surgical results are generally good, with low recurrence rates if definitive surgery is possible. Mortality and morbidity rates are also very low and, while the most common postoperative complication is temporary hypocalcemia, vocal cord paralysis is a rare but debilitating one. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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