Document Detail

Parathyroidectomy in the treatment of patients with chronic renal failure: a 10-year review.
MedLine Citation:
PMID:  8428289     Owner:  NLM     Status:  MEDLINE    
The technique and outcome of surgery for the manifestations of secondary hyperparathyroidism are described. Forty-seven patients were analysed retrospectively over a 10-year period. Total parathyroidectomy and autotransplantation to the forearm was performed in all but five patients. Improvement occurred in 87 per cent of patients and there were no graft failures. Of six deaths, none was related to surgery. Four patients had recurrent hyperparathyroidism, three being graft dependent and one requiring re-exploration of the neck. Total parathyroidectomy and autotransplantation is a safe and effective approach. The major management problem was graft hyperplasia, seen in three of the 47 patients and managed by simple excision.
J R Bessell; W D Proudman; R F Parkyn; A P Disney
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  80     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-03-08     Completed Date:  1993-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  40-2     Citation Subset:  AIM; IM    
Department of General Surgery, Queen Elizabeth Hospital, Woodville South, South Australia.
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MeSH Terms
Hyperparathyroidism / complications,  surgery*
Kidney Failure, Chronic / complications*
Middle Aged
Parathyroidectomy / adverse effects,  methods*
Treatment Outcome

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