[Perioperative intensive medical therapy of hyperparathyroidism]

Between January 1st, 1984 and May 1st, 1987 160 patients with primary and 84 patients with secondary hyperparathyroidism were operated in the University Hospital of Mainz. 29 patients (18%) with primary and 50 patients (70%) with secondary hyperparathyroidism were treated in the intensive care unit perioperatively. 4 patients (2.5%) showed signs of parathyrotoxicosis. Increasing diuresis the symptoms improved and all patients could be operated without complications. In 9.3% of the patients with secondary hyperparathyroidism complications were seen which needed special therapy. No patients died postoperatively.