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[Surgical treatment of refractory hyperparathyroidism and usefulness of the intraoperative PTH].

AbstractOBJECTIVE:
To share our experience in the surgery of so-called refractory hyperparathyroidism (secondary and tertiary without response to therapy with calcitriol).
MATERIAL AND METHODS:
Retrospective study based on 41 patients-5 with secondary and 6 with tertiary hyperparathyroidism-referred by nephrology for surgical evaluation of their illness because of poor response to the medical treatment given.
RESULTS:
In 18 of the 41 cases we used the fast or turbo intra-operative PTH with reduction of more than 60 % in all patients. In the group in whom normal PTH was performed, we registered 2 secondary hyperparathyroidisms with no significant decrease and persistence of symptoms. One of them was reoperated successfully.
DISCUSSION:
Subtotal or total parathyroidectomy with reimplant represents the treatment of choice in refractory hyperparathyroidism with good results in most of the series reviewed.
AuthorsVicente Pino Rivero, Alicia González Palomino, Carlos G Pantoja Hernández, María Elena Mora Santos, Mercedes Guerra Camacho, Fernando Carrasco Claver, Gonzalo Barrantes Celaya
JournalActa otorrinolaringoloĢgica espanĢƒola (Acta Otorrinolaringol Esp) Vol. 58 Issue 2 Pg. 39-42 (Feb 2007) ISSN: 0001-6519 [Print] Spain
Vernacular TitleTratamiento quirúrgico del hiperparatiroidismo refractario y utilidad de la paratirina intraoperatoria.
PMID17371679 (Publication Type: English Abstract, Journal Article)
Chemical References
  • Parathyroid Hormone
  • Calcium
Topics
  • Adult
  • Aged
  • Calcium (blood)
  • Female
  • Humans
  • Hyperparathyroidism, Secondary (blood, surgery)
  • Intraoperative Care
  • Male
  • Middle Aged
  • Parathyroid Hormone (blood)
  • Parathyroidectomy (methods)
  • Reoperation (statistics & numerical data)
  • Retrospective Studies

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