[Parathyroid risk in thyroid surgery. Reality and prevention. 502 bilateral thyroidectomies]. / Le risque parathyroïdien en chirurgie thyroïdienne. Sa réalité et sa prévention. 502 exérèses bilatérales.
J Chir (Paris)
; 119(8-9): 491-8, 1982.
Article
en Fr
| MEDLINE
| ID: mdl-6754751
ABSTRACT
Prospective study of parathyroid risk in a bulk of 502 consecutive bilateral thyroidectomies. Early post-operative hypocalcemia has been documented in 8,8% of the patients, but persisted in only 1,6% one year later. Late parathyroid risk of total thyroidectomy is 3,3% but increases twofold if neck dissection is simultaneously performed. Methods of this study probably misdiagnose a number of mild hypoparathyroidism. Lack of early hyperphosphoremia seems to be an optimizing criteria for aftermath. In Grave's disease, early post-operative hypocalcemia is more common (6,9%) but often subsides (definitive risk 0,4%). This acceptable morbidity is compared to the data of literature. To prevent post-operative hypoparathyroidism a painstaking dissection of parathyroid blood supply seems more promising and effective than routine autotransplantation of the glands.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Glándulas Paratiroides
/
Tiroidectomía
/
Hipoparatiroidismo
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
Fr
Revista:
J Chir (Paris)
Año:
1982
Tipo del documento:
Article