As the object of an investigation there were 8 patients (1man, 8 women) with primary hyperparathyroidism which were the residents of Gomel’s and Mogilev’s regions contaminated by radioactive nuclides for the period from 2003 to 2008. The all patients had the considerable hypercalcemia obstruction, tumor mass (lightcell adenoma) of one parathyroid gland, clinical presentations of primary hyperparathyroidism. For the patients made the parathyroidectomy, surgical removal of parathyroid gland adenoma. It was marked off the normalization of laboratory indices and the opposite development of clinical presentations during 3 and 30 days accordingly.

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The effectiveness of microsurgical revascularization performed according to indications ranges from 85.3% within the first three years of observation and up to 65.5 % during a five-year follow-up. These data are significant evidence of the necessity to rationalize both the indications for this kind of surgery and the surgical techniques. Five revascularization operations were performed using the Virag II and Michal II technique in the Sharlip modification with a satisfactory result. Two-stage combined revascularization, including angioplasty and stent placement in the common iliac artery as the first stage and open penile revascularization surgery as the second stage was performed in one patient. In all the cases, the lower epigastric artery (epigastrica inferior) was used as a donor artery for bypass epigastric-penile anastomosis. The article discusses issues of the mobilization of the above artery for its use as a donor shunt, as well as methods of prevention and diagnosis of arterial thrombosis in it in the postoperative period with the use of duplex ultrasound and angiography.