Abstract
Forty-nine reoperations for persistent or recurrent secondary hyperparathyroidism (HPT) in 30 patients are reported. The patients are part of a total of 184 patients operated on for secondary HPT; 28 reoperations in 18 patients were performed in the neck or in the upper mediastinum for remaining glands. Eleven reoperations at the forearm autograft revealed hyperplasia of the grafted tissue as the reason for recurrent disease in seven patients; they were treated by excision of all grossly enlarged particles. Ten patients received autologous cryopreserved tissue because of permanent postoperative hypoparathyroidism. The rate of graft-dependent recurrent HPT was 7%, and inadequate graft function was found in 6% of the patients.
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- Brennan M. F., Doppman J. L., Marx S. J., Spiegel A. M., Brown E. M., Aurbach G. D. Reoperative parathyroid surgery for persistent hyperparathyroidism. Surgery. 1978 Jun;83(6):669–676. [PubMed] [Google Scholar]
- Dubost C., Kracht M., Assens P., Sarfati E., Zingraff J., Drüeke T. Reoperation for secondary hyperparathyroidism in hemodialysis patients. World J Surg. 1986 Aug;10(4):654–660. doi: 10.1007/BF01655548. [DOI] [PubMed] [Google Scholar]
- Niederle B., Roka R., Brennan M. F. The transplantation of parathyroid tissue in man: development, indications, technique, and results. Endocr Rev. 1982 Summer;3(3):245–279. doi: 10.1210/edrv-3-3-245. [DOI] [PubMed] [Google Scholar]
- Rothmund M., Wagner P. K. Assessment of parathyroid graft function after autotransplantation of fresh and cryopreserved tissue. World J Surg. 1984 Aug;8(4):527–533. doi: 10.1007/BF01654930. [DOI] [PubMed] [Google Scholar]
- Rothmund M., Wagner P. K. Total parathyroidectomy and autotransplantation of parathyroid tissue for renal hyperparathyroidism. A one- to six-year follow-up. Ann Surg. 1983 Jan;197(1):7–16. [PMC free article] [PubMed] [Google Scholar]
- STANBURY S. W., LUMB G. A., NICHOLSON W. F. Elective subtotal parathyroidectomy for renal hyperparathyroidism. Lancet. 1960 Apr 9;1(7128):793–799. doi: 10.1016/s0140-6736(60)90678-4. [DOI] [PubMed] [Google Scholar]
- Wagner P. K., Rumpelt H. J., Krause U., Rothmund M. The effect of cryopreservation on hormone secretion in vitro and morphology of human parathyroid tissue. Surgery. 1986 Mar;99(3):257–264. [PubMed] [Google Scholar]
- Wang C. The anatomic basis of parathyroid surgery. Ann Surg. 1976 Mar;183(3):271–275. doi: 10.1097/00000658-197603000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]