TITLE:
Surgical Treatment of Secondary Hyperparathyroidism in Surgery B of Chu of Point G
AUTHORS:
S. Diallo, O. Sacko, M. Sissoko, A. Kanté, A. Coulibaly, L. Soumaré, B. Coulibaly, M. Camara, D. Traoré, N. Ongoiba
KEYWORDS:
Secondary Hyperparathyroidism, Treatment, Surgery
JOURNAL NAME:
Surgical Science,
Vol.10 No.10,
October
9,
2019
ABSTRACT: Purpose: To describe the epidemiological, clinical and therapeutic aspects of
secondary hyperparathyroidism inrenal failure chronic. Patients and methods:
We collected 11 cases of hyperparathyroidism secondary to renal failure
terminal operated in the Service of surgery B of the Central Hospital
University of Point G between December 2016 and November 2018. Results:
The sex ratio was 0.22 in favor of women. The average age of the patients was
43 or 27 years with extremes of 63 and 25 years. Secondary hyperparathyroidism
in renal failure chronic represented 1.9% of interventions to cold in
the Service of surgery B. 100% of patients (11/11) were haemodialysis. 100%
of the patients had clinical and biological signs. 45.5% (5/11) had radiological
signs. The average rate of parathyroid hormone was 2413.51 pg/ml with extremes
of 1264 pg/ml and 3616 pg/ml. The reference value was 15 - 65 pg/ml.
The surgical technique of choice was the 7/8th parathyroidectomy in 100% of
cases. The postoperative were simple in 81.8%, and complicated in 18.2%.
There were no death. The average duration of postoperative follow-up was 6
months. After surgery, 50% of patients (5/10) had normal levels of parathyroid
hormone and 50% (5/10) made a persistent hyperparathyroidism. Conclusion:
Secondary hyperparathyroidism is a frequent complication in renal
insufficient chronic in hemodialysis. Surgery is indicated in the resistant cases
of medical treatment. The 7/8th parathyroidectomy is the surgical technique
of choice. The rate of post operative complications is higher in our context.