Perioperative characteristics, histological diagnosis, and outcome in cats undergoing surgical treatment of primary hyperparathyroidism

2019 ◽  
Vol 48 (3) ◽  
pp. 367-374 ◽  
Author(s):  
Ameet Singh ◽  
Michelle A. Giuffrida ◽  
Christopher B. Thomson ◽  
Jared Baum ◽  
Betty Kramek ◽  
...  
2019 ◽  
Vol 25 (1) ◽  
pp. 56-60
Author(s):  
I.V. Deineko ◽  
◽  
S.P. Merenkova ◽  
V.A. Kravchenko ◽  
D.A. Ulko ◽  
...  

2019 ◽  
Vol 22 (2) ◽  
pp. 171-178 ◽  
Author(s):  
Fernando Mendoza-Moreno ◽  
Manuel Díez-Alonso ◽  
Enrique Ovejero-Merino ◽  
Ana Sánchez-Gollarte ◽  
Ricardo Alvarado-Hurtado ◽  
...  

2001 ◽  
Vol 7 (4) ◽  
pp. 323-325 ◽  
Author(s):  
John S. Kukora, MD, FACS, FACE

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
A. D. Herrera-Martínez ◽  
R. Bahamondes-Opazo ◽  
R. Palomares-Ortega ◽  
C. Muñoz-Jiménez ◽  
M. A. Gálvez-Moreno ◽  
...  

Primary hyperparathyroidism (PHPT) in pregnant women is an uncommon disease. It could be easily misdiagnosed because of physiologic changes during pregnancy; in some cases, patients could remain asymptomatic maintaining elevated calcium serum levels, and this situation represents a threat to the health of both mother and fetus. We present two cases of PHPT during pregnancy and their evolution after surgical treatment in the second trimester; there were no observed complications during pregnancy or delivery in our patients. Early diagnosis and medical/surgical treatment in PHPT are necessary for avoiding maternal and fetal complications which could not be predicted based on duration or severity of hypercalcemia. An appropriate management of PHPT during pregnancy is necessary for preserving the health of both the woman and the fetus.


2001 ◽  
Vol 182 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Anne Denizot ◽  
Marco Pucini ◽  
Christophe Chagnaud ◽  
Geneviève Botti ◽  
Jean-François Henry

2015 ◽  
Vol 97 (8) ◽  
pp. 603-607 ◽  
Author(s):  
OA Mownah ◽  
G Pafitanis ◽  
WM Drake ◽  
JN Crinnion

Introduction Primary hyperparathyroidism (pHPT) is usually the result of a single adenoma that can often be accurately located preoperatively and excised by a focused operation. Intraoperative parathyroid hormone (IOPTH) measurement is used occasionally to detect additional abnormal glands. However, it remains controversial as to whether IOPTH monitoring is necessary. This study presents the results of a large series of focused parathyroidectomy without IOPTH measurement. Methods Data from 2003 to 2014 were collected on 180 consecutive patients who underwent surgical treatment for pHPT by a single surgeon. Preoperative ultrasonography and sestamibi imaging was performed routinely, with computed tomography (CT) and/or selective venous sampling in selected cases. The preferred procedure for single gland disease was a focused lateral approach guided by on-table surgeon performed ultrasonography. Frozen section was used selectively and surgical cure was defined as normocalcaemia at the six-month follow-up appointment. Results Focused surgery was undertaken in 146 patients (81%) and 97% of these cases had concordant results with two imaging modalities. In all cases, an abnormal gland was discovered at the predetermined site. Of the 146 patients, 132 underwent a focused lateral approach (11 of which were converted to a collar incision), 10 required a collar incision and 4 underwent a mini-sternotomy. At 6 months following surgery, 142 patients were normocalcaemic (97% primary cure rate). Three of the four treatment failures had subsequent surgery and are now biochemically cured. There were no complications or cases of persistent hypocalcaemia. Conclusions This study provides further evidence that in the presence of concordant preoperative imaging, IOPTH measurement can be safely omitted when performing focused parathyroidectomy for most cases of pHPT.


2017 ◽  
Vol 8_2017 ◽  
pp. 121-124
Author(s):  
Ilyicheva E.A. Ilyicheva ◽  
Sinitsyn V.A. Sinitsyn ◽  
Chonskaya M.A. Chonskaya ◽  
Rozhanskaya E.V. Rozhanskaya E ◽  

1992 ◽  
Vol 3 (2) ◽  
pp. 83-92 ◽  
Author(s):  
Gunnel Bjerneroth ◽  
Claes Juhlin ◽  
Lars Grimelius ◽  
Jonas Rastad ◽  
Göran Åkerström

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