Initial failure of surgical exploration in patients with primary hyperparathyroidism.

  title={Initial failure of surgical exploration in patients with primary hyperparathyroidism.},
  author={L. J. Auguste and Joseph N. Attie and D Schnaap},
  journal={American journal of surgery},
  volume={160 4},
To determine the causes of failures of cervical exploration for primary hyperparathyroidism, we reviewed 892 patients operated on by one surgeon from 1953 to 1990. Twenty-seven patients (3%) remained hypercalcemic or developed hypercalcemia within 6 months of surgery. Of these, five patients had one adenoma removed initially; at reoperation, three patients had a second adenoma that was successfully removed, whereas the other two patients had hyperplasia and required subtotal parathyroidectomies… CONTINUE READING
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