Parathyroid Reimplantation in Forearm Subcutaneous Tissue During Thyroidectomy: A Simple and Effective Way to Avoid Hypoparathyroidism

Cavallaro, Giuseppe; Iorio, Olga; Centanni, Marco; Porta, Natale; Iossa, Angelo; Gargano, Lucilla; Duca, Susanna Del; Gurrado, Angela; Testini, Mario; Petrozza, Vincenzo; Silecchia, Gianfranço

doi:10.1007/s00268-015-3070-0

Cited by 39 publications

(38 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the study of El-Sharaky et al, function of parathyroid graft was assessed one month after surgery but not at one year (38). A recent prospective study on parathyroid forearm reimplantation (40), documented a gradient (range x1.5-5) between grafted and non-grafted forearms at three months, but failed to properly document the long-term parathyroid function. In addition, the authors report only 2/25 cases of postoperative hypocalcaemia, at variance with almost all studies.…”

Section: Discussionmentioning

confidence: 99%

Failure of fragmented parathyroid gland autotransplantation to prevent permanent hypoparathyroidism after total thyroidectomy

Lorente-Poch

Sancho

Muñoz

et al. 2017

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Failure of fragmented parathyroid gland autotransplantation to prevent permanent hypoparathyroidism after total thyroidectomy

Lorente-Poch

Sancho

Muñoz

et al. 2017

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…Maintaining intact parathyroids in place is the most important factor in preventing hypoparathyroidism (44,55). This requires from the surgeons a broad knowledge of the anatomy and embryology of the parathyroids, meticulous surgical technique, and command of parathyroid autotransplantation techniques in case the glands are removed (43,56,57).…”

Section: Surgical Aspects 4 Is It Possible To Prevent Postsurgical Hmentioning

confidence: 99%

Diagnosis and treatment of hypoparathyroidism: a position statement from the Brazilian Society of Endocrinology and Metabolism

Maeda¹,

Moreira²,

Borba³

et al. 2018

Archives of Endocrinology and Metabolism

View full text Add to dashboard Cite

Objective To present an update on the diagnosis and treatment of hypoparathyroidism based on the most recent scientific evidence. Materials and methods The Department of Bone and Mineral Metabolism of the Sociedade Brasileira de Endocrinologia e Metabologia (SBEM; Brazilian Society of Endocrinology and Metabolism) was invited to prepare a document following the rules set by the Guidelines Program of the Associação Médica Brasileira (AMB; Brazilian Medical Association). Relevant papers were retrieved from the databases MEDLINE/PubMed, LILACS, and SciELO, and the evidence derived from each article was classified into recommendation levels according to scientific strength and study type. Conclusion An update on the recent scientific literature addressing hypoparathyroidism is presented to serve as a basis for the diagnosis and treatment of this condition in Brazil.

show abstract

“…Although auto-transplantation of the parathyroid glands is reportedly effective for long-term recovery of parathyroid gland function [17,18], the post-recovery parathyroid gland hormone levels were much lower with auto-transplantation of the parathyroid glands when there was no preserved parathyroid gland compared with auto-transplantation of the parathyroid glands when there was at least one preserved parathyroid gland [19]. …”

Section: Discussionmentioning

confidence: 99%

Parathyroid score can predict the duration of required calcium supplementation after total thyroidectomy

Kim

Lee

et al. 2017

PLoS ONE

View full text Add to dashboard Cite

BackgroundPostoperative hypoparathyroidism is the most common complication after total thyroidectomy, owing to unintentional injury or decreased blood flow to the parathyroid glands. Prediction of postoperative hypoparathyroidism would be helpful for surgeons to manage postoperative hypocalcemia. In this study, we scored the discoloration of the parathyroid glands using a new parathyroid scoring system and evaluated the correlation between the parathyroid score and duration of required calcium supplementation after total thyroidectomy.MethodsA total of 316 patients undergoing total thyroidectomy between November 2009 and April 2010 were enrolled in this retrospective study. Parathyroid scoring was performed by one experienced surgeon. The status of each of the 4 parathyroid glands was classified as normal color (3 points), slightly discolored (2 points), dark discoloration (1 point), or loss of the gland (0 points), resulting in possible total scores of 0–12. Serum parathyroid hormone (PTH), serum calcium, and ionized calcium concentrations were measured at 2 hours, 2 weeks, 3 months, 6 months, and 1 year after surgery. Patients were also divided into three groups based on the duration of required calcium supplementation: no required supplementation (n = 260, 82.3%), required supplementation for <6 months (n = 38, 12%), and required supplementation for ≥6 months (n = 18, 5.75%).ResultsParathyroid scores were positively correlated with ionized PTH concentrations at 2 hours (r = 0.053, p < 0.001), 2 weeks (r = 0.056, p < 0.001), 3 months (r = 0.032, p<0.001), 6 months (r = 0.072, p < 0.001), and 1 year (r = 0.071, p < 0.001) after thyroidectomy. Parathyroid scores were significantly and inversely associated with the duration of required calcium supplementation (p = 0.001).ConclusionsParathyroid scores at the end of surgery might be helpful for predicting the degree of postoperative hypocalcemia after total thyroidetomy.

show abstract

Parathyroid Reimplantation in Forearm Subcutaneous Tissue During Thyroidectomy: A Simple and Effective Way to Avoid Hypoparathyroidism

Abstract: Parathyroid gland reimplantation in forearm subcutaneous tissue during thyroid surgery is a safe, easy and effective procedure; furthermore, it allows a good control of graft functionality and would allow an easy grafted gland removal if needed.

Cited by 39 publications

References 41 publications

Failure of fragmented parathyroid gland autotransplantation to prevent permanent hypoparathyroidism after total thyroidectomy

Failure of fragmented parathyroid gland autotransplantation to prevent permanent hypoparathyroidism after total thyroidectomy

Diagnosis and treatment of hypoparathyroidism: a position statement from the Brazilian Society of Endocrinology and Metabolism

Parathyroid score can predict the duration of required calcium supplementation after total thyroidectomy

Contact Info

Product

Resources

About