[Reduction of the hyperparathyroidism of uraemia by total parathyroidectomy followed by partial autograft (author's transl)].
In 3 cases, total parathyroidectomy, with graft of fragments of one of the glands into the forearm gave rapid correction of the clinical and biological disorders associated with secondary hyperparathyroidism. The secretion of parathyroid hormone by the autograft was confirmed by radioimmunoassay on brachial vein samples. This technique appears to be more satisfactory than 7/8 parathyroidectomy, the postoperative course of which is not always free of complications, which involves a risk of necrosis of the gland fragment left in place and in which reoperation is difficult.
D000328:Adult; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000150:complications; D008875:Middle Aged; D010280:Parathyroid Glands / Q000637:transplantation*; D007690:Polycystic Kidney Diseases / Q000150:complications; D014182:Transplantation, Autologous; D014511:Uremia / Q000150:complications*
Réduction de l'hyperparathyroïdie secondaire de l'urémique par parathyroïdectomie totale suivie d'autogreffe partielle.