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[Obligatory parathyroid autotransplantation in thyroid surgery]
J F Henry1, A Denizot, J Audiffret
1Unité Chirurgie Endocrinienne, Centre Hospitalier Universitaire de la Timone, Marseille.
Annales De Chirurgie
|January 1, 1990
Abstract:
In a series of 301 bilateral thyroidectomies carried out over a 6 month period, immediate parathyroid autotransplantation was performed in 44 patients, i.e. 14.6%. Hypoparathyroidism was transient in 14 patients, i.e. 4.7% but was permanent in 4 patients, i.e. 1.3%. We attempted to determine the conditions justifying parathyroid autotransplantation during thyroidectomies. In our opinion parathyroid autotransplantation should be performed only to save a parathyroid gland accidentally removed or devascularized. It should not be used simply as a means of avoiding dissection no matter how long or tedious.