The surgical treatment of parathyroid tumours

Walton, Albert

doi:10.1002/bjs.1800197406

Cited by 34 publications

(4 citation statements)

References 3 publications

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“…'Perusing the literature we found reports of 40 pregnant women with HPT (1-2, 4-16, [18][19][20][21][22][23][24][25][27][28][29][30][31], including the patient of this case report. These women went through a minimum of 93 pregnancies while suffering from HPT.…”

Section: Discussionmentioning

confidence: 98%

Hyperparathyroidism and Pregnancy

Pedersen

Permin

1975

Acta Obstet Gynecol Scand

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A 28-year-old gravida III, with a history of two unsuccessful pregnancies, was admitted with hyperemesis gravidarum and was found to be suffering from hyperparathyroidism (HPT). She was treated surgically and was later delivered of a wellformed, premature girl. The literature is reviewed and the histories of 40 females (including the patient of this case report) with a minimum of 93 pregnancies while suffering from HPT shows, that HPT during pregnancy is a serious condition for the fetus as well as for the mother. There was an increased incidence of spontaneous abortion, perinatal death, premature birth and neonatal morbidity. The mothers suffered from increased episodes of renal calculi and hyperemesis gravidarum. The exacerbations nearly always occurred in the first and second trimesters or post partum.

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Section: Discussionmentioning

confidence: 98%

Hyperparathyroidism and Pregnancy

Pedersen

Permin

1975

Acta Obstet Gynecol Scand

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“…James Walton stressed the need for wide exposure of the neck and also a search of the retrotracheal and retroesophageal regions. 10 They advised that sternal split is rarely required.…”

Section: Parathyroidectomy: the Early Operative Scenariomentioning

confidence: 99%

Vignette Hyperparathyroidism: Glimpse Into Its History

Dorairajan

Pradeep

2014

International Surgery

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The parathyroid gland was first described by Sir Richard Owen. Ivor Sandstrom coined the term glandulae parathyroidiae. Vassale and Generali Francesco observed that tetany occurs following parathyroidectomy. Harald Salvesen firmly established the relationship of the parathyroid gland to calcium metabolism. A patient with skeletal disease and a tumor near the parathyroid gland was described by Max Askanazy in 1904. Schlagenhaufer suggested in 1915 that in an attempt to cure bone disease, solitary parathyroid enlargement, if present, should be excised. The term hyperparathyroidism (HPT) was coined by Henry Dixon and colleagues. The parathyroid surgeries on Albert J. and Charles Martell were the first experience with successful parathyroidectomy. From a grossly symptomatic disease of bones, stones, abdominal groans, and psychic moans, HPT has evolved into asymptomatic HPT. Improvements in knowledge about the pathology of parathyroid diseases, including the genetic basis of HPT, and advances in the surgical techniques have brought about changes in the management of HPT over the decades.

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“…Unfortunately, the disease in Mandl's patient recurred 7 years after operation, by which time about 20 more successful operations had been done in Europe and America. Four of them were performed by James Walton (1881Walton ( -1955 in London, who reported the first series of patients [59]. By then (the 1930s), parathyroid surgery was well under way and has advanced greatly since.…”

Section: Parathyroidsmentioning

confidence: 99%

Highlights from Endocrine Surgical History

Welbourn

1996

World j. surg.

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Endocrine surgery includes excision of diseased or sometimes normal endocrine glands and occasionally the transplantation of endocrine tissues. Male castration was performed for social reasons in prehistoric times, and thyroid operations were described during the twelfth century. Until the end of the nineteenth century most operations were undertaken to relieve the local effects of pathologic enlargement of the thyroid, ovaries, pituitary, and adrenals; and with the development of anesthesia, antisepsis, and effective hemostasis, thyroidectomy for benign, nontoxic goiter was perfected. Thyroid deficiency followed total thyroidectomy, and thyroid replacement therapy was developed. Toxic goiter was sometimes relieved by partial thyroidectomy. After the discovery of hormones early this century, knowledge of endocrinology increased, and many syndromes of hormonal excess were described. Surgeons began to operate to relieve them. Results improved with mastery of surgical technique, especially for operations on the thyroid, parathyroids, and pituitary; with the development of methods for diagnosis of syndromes and the localization of lesions; with teamwork; and with the use of hormones, drugs, and radiotherapy as alternative or additional forms of therapy before, during, and after operation. Notable advances followed adequate resection of thyroid tissue and the use of iodine and antithyroid drugs before operation for toxic goiter. The use of cortisone rendered adrenalectomy safe for the relief of cancer of the breast and prostate and of Cushing's syndrome. For about 40 years increasing numbers of surgeons have specialized in endocrine surgery as a discipline within general surgery, and results of treatment have improved greatly.

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The surgical treatment of parathyroid tumours

Cited by 34 publications

References 3 publications

Hyperparathyroidism and Pregnancy

Hyperparathyroidism and Pregnancy

Vignette Hyperparathyroidism: Glimpse Into Its History

Highlights from Endocrine Surgical History

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