Surgery of secondary hyperparathyroidism

Seventy-Five patients with renal insufficiency with secondary hyperparathyproidism [including 13 patients with functioning renal transplants] were operated upon. The three major indications for surgery were bone pain, abnormal serum calcium and pruritus. Total parathyroidectomy with autotransplantation was performed in 39 patients [52%], subtotal thyroidectomy in 20 patients [27%] and total parathyroidectomy in 16 patients [21%]. Total parathyroidectomy with autotransplantation provides the best symptomatic relife from secondary hyperparathyroidism