Article Recommendations Abstract Background. In spite of improved medical therapy, parathyroidectomy is still frequentely indicated for patients with medically refractory secondary and tertiary hyperparathyroidism.
The aim of this study is to analyse the impact of parathyroidectomy, regardless of the surgical procedure, on perioperative and follow-up clinical symptoms and biochemistry tests. Material and method. Outcome parameters included symptoms relieving bone pains, pruritus, etc and laboratory data intact parathyroid hormone iPth neuroendocrine cancer month, total calcium and phosphorus, serum alkaline phosphatase AlkPhoshematocrit and hemoglobinassesed before, shortly after and then at short-medium term follow-up.
The majority of neuroendocrine cancer month patients had significant improvement of the symptoms during the follow-up period.
The iPTH values considerably decreased after the operation. The postoperative calcemia mean value decreased and we have identified statistically significant differences between the monthly neuroendocrine cancer month average values p The mean phosphorus level in the first 2 postoperative months decreased significantly p Both hematocit and hemoglobin levels experienced a statistical significant growth in the follow-up period.
Persistent HPT was encountered in two patients 6. We had few minor and transient postoperative complications and we did not encountered postoperative mortality in our series.
Number CXVIII - 2, 2015
Parathyroidectomy, regardless of the technical procedure, is feasible, safe and effective for patients with refractory secondary and tertiary hyperparathyroidism. Keywords: hyperparathyroidism ; parathyroidectomy ; clinical and biochemical follow-up ; hiperparatiroidism ; paratiroidectomie ; urmărire postoperatorie If the inline PDF is not rendering correctly, you can download the PDF file here. Secondary and tertiary hyperparathyroidism state of the art surgical management.
Surg Clin North Am. DOI: Paricalcitol- or cinacalcet-centred therapy affects markers neuroendocrine cancer month neuroendocrine cancer month mineral disease in patients with secondary hyperparathyroidism receiving haemodialysis: results of the IMPACT-SHPT study. Nephrol Dial Transplant. Elder GJ.
Number CXVIII - 3, 2015
Parathyroidectomy in the calcimimetic era. Nephrology Carlton. Parathyroidectomy in neuroendocrine cancer month renal failure: has medical care reduce the need for surgery? Mircescu G Stanescu B.
Surgical or medical therapy for severe hyperparathyroidism of chronic kidney disease? An appraisal of current practice guidelines Acta Endo Buc.
View in PDF Number of views: Introduction: Erectile dysfunction ED is a serious condition which can affect men of all ages, with an important impact over the quality of life. When conservative therapy fails, a viable solution is the penile prosthesis implantation PPI.
Jamal SA Paul Neuroendocrine cancer month. Miller PD.
Romanian Journal of Military Medicine
Secondary and Tertiary Hyperparathyroidism. J Clin Densitom.
Subtotal parathyroidectomy in the treatment of renal hyperparathyroidism - single center initial experience. Acta Endo Buc.
Romanian Journal of Military Medicine
Parathyroidectomy improves symptomatology and quality of life in patients with secondary hyperparathyroidism. Improved long-term survival of dial ysis patients after near-total parathyroidectomy. J Am Coll Surg. Covic A Schiller A. Clin Nephrol.
Parathyroidectomy for secondary hyperparathyroidism in the era of calcimimetics.
Ther Apher Dial. Secondary hyperparathyroidism. Chirurgia Bucur. Total parathyroidectomy with forearm graft in tertiary hyperparathyroidism.
Surgical management of renal hyperparathyroidism: a preliminary series report. Perioperative management difficulties in parathyroidectomy for primary versus secondary and tertiary hyperparathyroidism. Maedica Buchar. Total parathyroidectomy without autotransplantation for secondary hyperparathyroidism.
World J Surg. Neyer U Horandner H. Parathyroidectomy in renal hyperparathyroidism Cancerul pulmonar stadiul 4 Elective subtotal parathyroidectomy for renal hyperparathyroidism.
Ogg CS. Total parathyroidectomy in treatment of secondary renal hyperparathyroidism Br Med J. Parathyroid transplantation.