Hn08p audit of 115 consecutive parathyroidectomies in patients with renal hyperparathyroidism.

Hn08p audit of 115 consecutive parathyroidectomies in patients with renal hyperparathyroidism. Research Abstract Details 

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Hn08p audit of 115 consecutive parathyroidectomies in patients with renal hyperparathyroidism. Abstract Text:

T H Low,J Clark,K Gao,K Shannon,C O'brien,

Objectives To review the characteristics and outcomes of patients undergoing parathyroidectomy for renal (secondary and tertiary) hyperparathyroidism. Methods Review of prospectively collected data from a dedicated head and neck database at RPAH between 1988 and 2004. A total of 115 patients underwent exploratory parathyroidectomy. Results Common indications for parathyroidectomy included hypercalcaemia, renal osteodystrophy, calciphylaxis and calcinosis, bone or joint pain, and pruritus. Sixty-nine patients had subtotal parathyroidectomy (STP), 47 had total parathyroidectomy (TP) of which 4 had total parathyroidectomy with autotransplant (TPA). Ten patients required re-exploration for recurrent hyperparathyroidism at a median time to reoperation of 55 months. Of those, 8 had STP, 1 had TP, and 1 had TPA. Predictors of recurrent hyperparathyroidism included higher post operative PTH level (median of 22.5 pmol/L vs 3.4 pmol/L) and higher total parathyroid weight (median of 7.75 gm vs 2.9 gm). 97% of patients reported resolution of symptoms on follow-up. The average length of hospital admission was 4.4 days. Morbidity of this series included wound infection (0.8%), temporary vocal cord paralysis (0.8%), seizure due to severe hypocalcaemia (0.8%) and neck haematomas requiring evacuation (0.8%). Conclusions Parathyroidectomy is effective in the management of renal hyperparathyroidism. Subtotal parathyroidectomy is associated with a higher re-exploration rate. Predictors for recurrent hyperparathyroidism include total parathyroid weight and post-operative PTH level.

Hn08p audit of 115 consecutive parathyroidectomies in patients with renal hyperparathyroidism. Publishing Authors By Initials

TH Low,J Clark,K Gao,K Shannon,C O'brien,

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Hn08p audit of 115 consecutive parathyroidectomies in patients with renal hyperparathyroidism. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: ANZ journal of surgery

VOLUME: 77 Suppl 1

Page Numbers: A38

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ISSN: 1445-1433

DAY: 10

MONTH: May

YEAR: 2007

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LANGUAGE: eng

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AFFILIATION: Royal Prince Alfred Hospital, New South Wales, Australia.

Country: Australia

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MEDLINETA: ANZ J Surg

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