Reoperative surgery for hyperparathyroidism.

Abstract:

:The difficulties created by an unsuccessful initial operation can usually be avoided by choosing experienced surgeons, identifying four glands, and selectively excising grossly abnormal parathyroid tissue. Patients with multiple endocrine adenomatosis or familial hyperparathyroidism should have a subtotal parathyroidectomy. Reoperative surgery is difficult and although it is successful in approximately 70 to 80 percent of patients, it is associated with a significant morbidity which includes persistent hypercalcemia, hypoparathyroidism, and nerve injury. Reoperative parathyroid surgery should be done in specialized centers where the sophisticated methods of preoperative localization and surgeons experienced in this field are available.

journal_name

Am J Surg

authors

Palmer JA,Rosen IB

doi

10.1016/0002-9610(82)90412-3

subject

Has Abstract

pub_date

1982-10-01 00:00:00

pages

406-10

issue

4

eissn

0002-9610

issn

1879-1883

pii

0002-9610(82)90412-3

journal_volume

144

pub_type

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