[Total parathyroidectomy with reimplantation: treatment of choice of hyperparathyroidism secondary to renal insufficiency : report on 24 cases (author's transl)].
Results in a series of 24 total parathyroidectomies with immediate reimplantation in patients with chronic renal insufficiency are described, and the advantages of this method discussed. This technique avoids the complications of sub-total parathyroidectomy, and the very rare failures can be easily treated by local excision if it is velated to recurrence of hyperparathyroidism, or by further reimplantations in cases of hypoparathyroidism. Grafts are possible during a second stage, after several months of freezing, but a limit of 9 months should be suspected. This method is proposed as a routine measure in all cases of parathyroid hyperplasia.
D005542:Forearm; D005615:Freezing; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000209:etiology / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000150:complications*; D010280:Parathyroid Glands / Q000601:surgery* / Q000637:transplantation; D010281:Parathyroid Hormone / Q000378:metabolism; D012008:Recurrence; D014182:Transplantation, Autologous
D010281:Parathyroid Hormone
Parathyroïdectomie totale avec réimplantation. Traitement de choix de l'hyperparathyroïdisme secondaire chez l'insuffisant rénal. A propos de 24 observations.