[Surgical treatment of primary hyperparathyroidism. A descriptive analysis]. / Tratamiento quirúrgico del hiperparatiroidismo primario. Estudio descriptivo.

In the last decades the primary hyperparthyroidism has become a common disease, often diagnosed by biochemical chance. The Elche General Hospital Department of Otorhinolaryngology has performed 55 parathyroidectomies between November 1996 and March 2003. Thirty-six cases (65.4%) were diagnosed as primary hyperparathyroidism. This disease usually has few symptoms. Since February 2000, Elche Hospital has available a device for quick appraisal of parathormone rate, allowing us in a few minutes to determine it and with the patient still in the operating theatre. The surgery results were: 25 solitary adenomas, 6 double adenomas and 5 hyperplasic. All patients became normocalcemic, and there were no major complications in this series.

Tratamiento quirúrgico del hiperparatiroidismo primario. Estudio descriptivo / Surgical treatment of primary hyperparathyroidism. A descriptive analysis

En las últimas décadas el hiperparatiroidismo primario se ha convertido en una enfermedad común, a menudo diagnosticado al azar en una determinación bioquímica. El Servicio de Otorrinolaringología del Hospital General de Elche ha intervenido quirúrgicamente 55 paratiroidectomías entre noviembre de 1996 y marzo de 2003. Treinta y seis casos (65,4 por ciento) son diagnosticados de hiperparatiroidismo primario. Esta enfermedad generalmente presenta síntomas muy sutiles. Desde febrero de 2000 el Hospital de Elche posee un aparato de detección rápida de nivel de hormona paratiroidea, permitiéndonos en pocos minutos su determinación intraoperatoriamente. Los resultados quirúrgicos son: 25 adenomas solitarios, 6 dobles adenomas y 5 hiperplasias. Todos los pacientes permanecen normocalcémicos y no se han presentado complicaciones significativas en este estudio (AU)

In the last decades the primary hyperparthyroidism has become a common disease, often diagnosed by biochemical chance. The Elche General Hospital Department of Otorhinolaryngology has performed 55 parathyroidectomies between November 1996 and March 2003. Thirty-six cases (65.4%) were diagnosed as primary hyperparathyroidism. This disease usually has few symptoms. Since February 2000, Elche Hospital has available a device for quick appraisal of parathormone rate, allowing us in a few minutes to determine it and with the patient still in the operating theatre. The surgery results were: 25 solitary adenomas, 6 double adenomas and 5 hyperplasic. All patients became normocalcemic, and there were no major complications in this series (AU)