Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Renal hyperparathyroidism.

J R Botha

    Surgery Annual
    |January 1, 1992
    PubMed
    Summary
    This summary is machine-generated.

    Surgical treatment for renal hyperparathyroidism (HPT) is indicated for symptomatic patients with chronic kidney disease or post-transplant hypercalcemia. Conservative management is favored for mild, asymptomatic cases after transplantation, with surgical outcomes comparable to literature reports.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Kidney transplant outcomes following the introduction of hand-assisted laparoscopic living donor nephrectomy: a comparison of recipient groups.

    South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie·2017
    Same author

    Hand-assisted laparoscopic live donor nephrectomy - initial experience.

    South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie·2011
    Same author

    HIV infection following transplantation: the South African experience.

    Transplantation proceedings·2001
    Same author

    Renal transplantation in South Africa.

    Clinical transplants·2001
    Same author

    Parathyroid function after successful renal transplantation.

    South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie·1997
    Same author

    Allotransplantation of parathyroid cells.

    Lancet (London, England)·1995

    Area of Science:

    • Nephrology
    • Endocrinology
    • Surgical Pathology

    Background:

    • Renal hyperparathyroidism (HPT) is a common complication in patients with chronic end-stage renal failure and post-kidney transplant recipients.
    • Indications for surgical intervention in renal HPT differ between dialysis patients and transplant recipients.

    Purpose of the Study:

    • To outline the indications for surgical treatment of renal HPT in patients with chronic end-stage renal failure and post-transplant hyperparathyroidism.
    • To compare surgical outcomes and survival rates between dialysis and transplant patient groups.

    Main Methods:

    • Review of surgical indications for renal HPT.
    • Comparison of total parathyroidectomy with autotransplantation versus subtotal parathyroidectomy.
    • Analysis of patient survival rates (actual and actuarial) in dialysis and transplant cohorts.

    Related Experiment Videos

    Main Results:

    • Surgical treatment for renal HPT is indicated for symptomatic disease or failed medical management in dialysis patients, and symptomatic disease with persistent hypercalcemia in transplant patients.
    • Conservative management is favored for asymptomatic, mild post-transplant hyperparathyroidism.
    • Subtotal parathyroidectomy yielded recurrence rates comparable to reported rates for total parathyroidectomy with autotransplantation.
    • Actual survival rates were 58% for dialysis patients and 79% for transplant patients.

    Conclusions:

    • Surgical management of renal HPT can achieve comparable recurrence rates to established methods.
    • Long-term survival rates differ significantly between dialysis and transplant patient groups.
    • Further research is needed on medical management and long-term conservative treatment of asymptomatic post-transplant hyperparathyroidism.