ABSTRACT
One hundred and two patients with primary hyperparathyroidism underwent a total of 108 bilateral neck explorations with attempted identification and biopsy of all four glands. Hypercalcaemia was surgically eliminated in 97 of 102 patients (95%). Of the remaining hypercalcaemic patients one was cured by percutaneous ethanol injection and one was reoperated and cured in another hospital. Three patients with persistent hypercalcaemia refused reoperation. Transitory hypocalcaemia with a median duration of 15 days was found in 36 patients, and permanent hypocalcaemia in two patients (1.9%). Permanent paralysis of the recurrent nerve occurred in three patients (2.9%). Twenty-one patients developed other postoperative complications from which they all recovered without sequelae. No postoperative deaths occurred. Our results show that surgical treatment of primary hyperparathyroidism--including bilateral neck exploration and attempted biopsies of all parathyroid glands--is safe with a high cure rate.
Subject(s)
Hyperparathyroidism/surgery , Parathyroidectomy , Adult , Aged , Aged, 80 and over , Female , Humans , Hypercalcemia/etiology , Hyperparathyroidism/complications , Hyperparathyroidism/pathology , Male , Middle Aged , Parathyroid Glands/pathology , Parathyroid Neoplasms/pathology , Parathyroid Neoplasms/surgery , Parathyroidectomy/adverse effects , Postoperative Complications , Retrospective StudiesABSTRACT
Eight high-risk patients with acute cholecystitis were submitted to subhepatic percutaneous drainage of the gall-bladder as the initial treatment. One patient died a few days after the intervention. Six patients had stones in the gall-bladder. Cholecystectomy was performed in one of these in five, the stones were removed by a percutaneous endoscopic technique after dilatation of the drainage canal. No noteworthy complications occurred.
Subject(s)
Cholecystitis/therapy , Cholelithiasis/therapy , Drainage/methods , Acute Disease , Aged , Cholecystitis/complications , Cholelithiasis/complications , Dilatation , Drainage/adverse effects , Endoscopy, Digestive System/methods , Female , Humans , Male , Middle Aged , Retrospective Studies , Risk FactorsABSTRACT
Intussusception is a rare condition in adults. In the large intestine, intussusception is most frequently caused by malignant tumours. The case history of a man aged 35 years is presented here. In connection with operation for colo-colic intussusception, familial polyposis was demonstrated. The diagnosis of colo-colic intussusception was established by ultrasonic scanning.
