PARATHYROID AUTOTRANSPLANTATION Part of “CHAPTER 62 – SURGERY OF THE PARATHYROID GLANDS“ Clinical circumstances in which parathyroid autotransplantation is useful include radical thyroid surgery with either unavoidable or inadvertent devascularization…
MEDIASTINAL EXPLORATION Part of “CHAPTER 62 – SURGERY OF THE PARATHYROID GLANDS“ The mediastinum is explored through either a cervical incision23 or a median sternotomy (see Fig. 62-4B). If the…
STRATEGY AT REOPERATION FOR RECURRENT OR PERSISTENT HYPERPARATHYROIDISM Part of “CHAPTER 62 – SURGERY OF THE PARATHYROID GLANDS“ Parathyroid reoperation may be necessary in cases of persistent or recurrent primary…
TECHNIQUES FOR LOCALIZATION OF ABNORMAL PARATHYROID TISSUE IN PATIENTS WITH PERSISTENT OR RECURRENT HYPERPARATHYROIDISM Part of “CHAPTER 62 – SURGERY OF THE PARATHYROID GLANDS“ Several noninvasive techniques have been developed…
PROMISING TECHNIQUES FOR INITIAL PARATHYROID EXPLORATION Part of “CHAPTER 62 – SURGERY OF THE PARATHYROID GLANDS“ Three technological advancements have made selective exploration strategies viable in the initial exploration of…
STANDARD INITIAL OPERATIVE MANAGEMENT Part of “CHAPTER 62 – SURGERY OF THE PARATHYROID GLANDS“ Under general anesthesia, the patient is positioned supine with arms at the sides and the neck…
SURGERY OF THE PARATHYROID GLANDS Gerard M. Doherty Samuel A. Wells JR. Hyperparathyroidism occurs in ˜1 in 1000 persons in the United States. Successful parathyroid surgery requires an understanding of…
PREVENTION, DIAGNOSIS, AND MANAGEMENT Part of “CHAPTER 61 – RENAL OSTEODYSTROPHY“ An understanding of the pathogenesis of renal osteodystrophy leads to a number of maneuvers that are effective in its…
ABNORMALITIES OF LABORATORY TESTS Part of “CHAPTER 61 – RENAL OSTEODYSTROPHY“ One of the earliest changes in patients with chronic renal failure is increased plasma levels of PTH. As the…
CLINICAL FEATURES Part of “CHAPTER 61 – RENAL OSTEODYSTROPHY“ Symptoms of renal osteodystrophy usually appear only in patients with advanced renal failure, although the abnormalities in mineral metabolism occur early…
