Document Detail


Unilateral parathyroidectomy in hyperparathyroidism due to single adenoma.
MedLine Citation:
PMID:  7059236     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
As a general principle in the treatment of primary hyperparathyroidism due to single adenoma, unilateral parathyroidectomy was applied to 50 patients and compared with another group of 50 conventionally explored patients. Twenty-five patients were explored only on the "adenoma" side. The other 25 patients were explored on both sides, avoiding biopsies at the first. In the conventionally explored patients, the adenoma was removed and one to three normal glands were biopsied. Oil-red-O technique was used in the intraoperative microscopical examination. The patients in whom the operation could be limited to the "adenoma" side had a statistically more favorable situation concerning early postoperative hypocalcemia, length of operation time, and need for calcium and vitamin D substitution. The principle of unilateral parathyroidectomy in conjunction with intraoperative oil-red-O staining technique is advocated in hyperparathyroidism due to single adenoma because it offers more reliable peroperative distinction between uni- and multi-glandular involvement, reduced operation time, decreased risk for complication, reduced early hypocalcemia, and more favorable technical conditions for reoperation.
Authors:
S Tibblin; A G Bondeson; O Ljungberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of surgery     Volume:  195     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1982 Mar 
Date Detail:
Created Date:  1982-04-20     Completed Date:  1982-04-20     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  245-52     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adenoma / pathology,  surgery*
Biopsy / methods
Calcium / blood
Female
Humans
Hyperparathyroidism / pathology,  surgery*
Hypocalcemia / complications
Male
Middle Aged
Parathyroid Neoplasms / pathology,  surgery*
Postoperative Complications
Chemical
Reg. No./Substance:
7440-70-2/Calcium
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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