title: [Total parathyroidectomy and autologous parathyroid transplantation in secondary hyperparathyroidism (author's transl)].
abstract: In a 17-year-old female patient with marked secondary hyperparathyroidism and progressive bone changes all four parathyroid glands were removed. Part of the endocrine tissue was reimplanted into the muscles of the forearm. The transplant took successfully and showed a satisfactory function. Total parathyroidectomy and autologous parathyroid transplantation has a number of advantages as compared with subtotal parathyroidectomy: The function of the transplant can be directly observed and tissue can be easily removed in the further course of the disease. It is thus possible to regulate parathormone secretion over long periods in patients with chronic renal failure.
mesh_terms: D000293:Adolescent; D005260:Female; D005542:Forearm; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery; D010280:Parathyroid Glands / Q000637:transplantation*; D014182:Transplantation, Autologous
vernacular_title: Totale Parathyreoidektomie und autologe Epithelkörperchen- Transplantation bei sekundärem Hyperparathyreoidismus