Show Summary Details
Page of

Surgical management of secondary hyperparathyroidism 

Surgical management of secondary hyperparathyroidism
Surgical management of secondary hyperparathyroidism

Emile Sarfati

and Tilman B Drüeke

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 07 August 2020

The surgical management of severe secondary hyperparathyroidism in patients with chronic kidney failure remains the ultimate solution in those who fail to respond to medical treatment or cannot comply with it. Among the various surgical techniques available, the most frequently used are subtotal parathyroidectomy, total parathyroidectomy with immediate autotransplantation of parathyroid tissue, total parathyroidectomy without autotransplantation, and total parathyroidectomy with delayed autotransplantation. At present, we prefer performing subtotal parathyroidectomy. Local and general contraindications to parathyroidectomy include erosive cervical spondylarthropathy and several systemic diseases. The presence of severe cardiac or pulmonary failure may be a contraindication to general anesthesia. In such cases, local anesthesia with two successive lateral cervictomies may be exceptionally used.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.