Surgical Treatment of Secondary Hyperparathyroidism: Indication, Operative Management and Results1

2015 ◽  
pp. 186-205 ◽  
Author(s):  
M. Rothmund
Keyword(s):  
Surgical Treatment ◽  
Secondary Hyperparathyroidism ◽  
Operative Management

scholarly journals Atypical clinical course of cerebral arachnoid cyst

2015 ◽  
Vol 17 (2) ◽  
pp. 77
Author(s):  
A. L. Krivoshapkin ◽  
A. V. Gorbatykh ◽  
A. S. Gaytan ◽  
P. A. Semin ◽  
V. V. Kobozev
Keyword(s):  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Female Patient ◽  
Arachnoid Cyst ◽  
Clinical Course ◽  
Operative Management ◽  
Middle Cranial Fossa ◽  
Raised Intracranial Pressure ◽  
Cranial Fossa ◽  
Aggressive Clinical Course

In this publication we report a case of atypical, aggressive clinical course of arachnoid cyst in 19-year old female patient, which caused raised intracranial pressure and disruption of bony structures of the middle cranial fossa and the orbit. It also describes peculiarities of operative management and results of surgical treatment of this patient.

scholarly journals Epidemiology and management of atlas fractures

2020 ◽  
Vol 29 (10) ◽  
pp. 2477-2483
Author(s):  
Nora Fiedler ◽  
Ulrich J. A. Spiegl ◽  
Jan-Sven Jarvers ◽  
Christoph Josten ◽  
Christoph E. Heyde ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Operative Management ◽  
Posterior Arch ◽  
Unstable Fracture ◽  
Complication Rates ◽  
Level Of Evidence ◽  
Concomitant Injuries ◽  
Fracture Patterns ◽  
Atlas Fractures ◽  
Type 3

Abstract Purpose The purpose of this study was to gain new insights into the epidemiologic characteristics of patients with atlas fractures and to retrospectively evaluate complication rates after surgical and non-surgical treatment. Methods In a retrospective study, consecutive patients diagnosed with a fracture of the atlas between 01/2008 and 07/2018 were analyzed. Data on epidemiology, concomitant injuries, fracture patterns and complications were obtained by chart and imaging review. Results In total, 189 patients (mean age 72 years, SD 19; 57.1% male) were treated. The most frequent trauma mechanism was a low-energy trauma (59.8%). A concomitant injury of the cervical spine was found in 59.8%, a combined C1/C2 injury in 56.6% and a concomitant fracture of the thoraco-lumbar spine in 15.4%. When classified according to Gehweiler, there were: 23.3% type 1, 22.2% type 2, 32.8% type 3, 19.0% type 4 and 1.1% type 5. Treatment of isolated atlas fractures (n = 67) consisted of non-operative management in 67.1%, halo fixation in 6.0% and open surgical treatment in 26.9%. In patients with combined injuries, the therapy was essentially dictated by the concomitant subaxial cervical injuries. Conclusions Atlas fractures occurred mainly in elderly people and in the majority of the cases were associated with other injuries of the head and spine. Most atlas fractures were treated conservatively. However, surgical treatment has become a safe and valid option in unstable fracture patterns involving the anterior and posterior arch (type 3) or those involving the articular surfaces (type 4). Level of evidence IV (Retrospective cohort study). Graphic abstract These slides can be retrieved under Electronic Supplementary Material.

scholarly journals Surgical Treatment for Secondary Hyperparathyroidism in our Department.

2000 ◽  
Vol 93 (1) ◽  
pp. 71-75
Author(s):  
Hiroki IKEDA ◽  
Hirobumi KUMAZAWA ◽  
Tomoko YOSHIDA ◽  
Kazuhito YOSHINAGA ◽  
Shinryu LEE ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Secondary Hyperparathyroidism

scholarly journals Surgical treatment of secondary hyperparathyroidism in elderly patients: an institutional experience

2016 ◽  
Vol 29 (S1) ◽  
pp. 23-28 ◽  
Author(s):  
Andrea Polistena ◽  
Alessandro Sanguinetti ◽  
Roberta Lucchini ◽  
Segio Galasse ◽  
Stefano Avenia ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Secondary Hyperparathyroidism ◽  
Institutional Experience

scholarly journals EXPERIENCE OF SURGICAL TREATMENT OF SECONDARY HYPERPARATHYROIDISM

2016 ◽  
Vol 1 (4) ◽  
pp. 29-35
Author(s):  
Рожанская ◽  
Elena Rozhanskaya ◽  
Махутов ◽  
Valeriy Makhutov ◽  
Булгатов ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Thyroid Gland ◽  
Secondary Hyperparathyroidism ◽  
Central Neck Dissection ◽  
Parathyroid Glands ◽  
Superior Mediastinum ◽  
Simultaneous Surgery ◽  
Target Values ◽  
Cervical Approach ◽  
Gross Examination

Surgical treatment of secondary hyperparathyroidism (HPT) in patients having renal replacement therapy (RRT) is a current problem. The aim of our study was to optimize the treatment of secondary HPT based on the comparative analysis of effectiveness of the surgeries with different extents. We conducted a retrospective analysis of the results of surgical treatment of uremic HPT in 34 patients. 36 surgeries were performed including 34primary (16subtotal parathyroidecomies (PTE), 13total parathyroidecomies (total PTEI), 5total parathyroidecomies with central neck dissection and resection of superior mediastinum and superior thymus horns (total PTEII)) and 2repeated surgeries (total PTEII and parathyroidadenomectomy). Gross examination of 134 surgical specimens revealed dyssynchronous pathological changes in parathyroid glands (PTG), normal PTG structure was found in 2cases. Recurrent HPT was found in 3 cases, persistent HPT – in 9cases, hypoparathyroidism – in 5cases after subtotal PTE and in 9 cases after total PTE with autotransplantation (p=0,267). Target values of parathyroid hormone were registered in 8patients, including 4 patients after subtotal PTE and 4 patients after total PTE (p>0,95). Morbidity was similar in all types of surgeries (p>0,5). Analysis of morbidity determined that simultaneous surgery of thyroid gland increased the risk of laryngeal paralysis (р=0,028). The decrease in occurrence of secondary HPT persistence (with the source accessible for removal through cervical approach) at total PTE based on the removal of parathyroid glands of all localizations accessible through cervical approach (including thyroid gland lobes with diagnosed ectopia, central cervical fat pad, superior mediastinum and superior thymus horns) was registered (NNT=4).

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