Surgical treatment of secondary hyperparathyroidism

Abstract

Aim: Initial treatment of secondary hyperparathyroidism (sHPT), often seen as a result of end-stage renal failure, is medicaltreatment. Treatment-resistant patients require surgery. The aim of this study is to evaluate the diagnosis and treatment of patientswho underwent sHPT.Material and Methods: Twenty-one patients who were operated for sHPT were included in the study. The demographic data of thepatients and correlation of imaging results with correct localization and pathological diagnosis were evaluated.Results: The mean age of the patients was 45.80±1.10. While the number of patients with growth in a parathyroid gland was 7 (32%),the number of patients with multiple glands was 8 (39%). According to scintigraphy evaluation, the same values were 4 (19%) and 12(57%) patients. 7 (34%) patients were underwent adenoma excision, 11 (52%) patients were underwent subtotal parathyroidectomyand 3 (14%) patients were underwent total parathyroidectomy + parathyroid auto-implantation. Persistent hyperparathyroidism wasseen in 2 patients who underwent subtotal parathyroidectomy and 1 patient who underwent adenoma excision.Conclusion: Today, the treatment of sHPT is still the best treatment option, and as a treatment, subtotal parathyroidectomy and totalparathyroidectomy + parathyroid autoimplantation surgery should be preferred.