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Remedial Parathyroid Surgery

  • Göran Åkerström
  • Peter Stålberg
  • Ola Hessman
Chapter

Abstract

The history of parathyroid reoperation is as long as the history of parathyroid surgery. The first patient operated for hyperparathyroidism (HPT), the Vienese tram conductor Albert Jahne operated by Felix Mandl in 1925, initially experienced the benefit of successful removal of a parathyroid tumor. However, Jahne subsequently developed recurrent disease, possibly due to parathyroid carcinoma, was reoperated in 1932, without finding, and died from renal failure soon after the second exploration. Captain Charles Martell had persistent HPT with severe osteitis fibrosa cystica after six previous operations, including total thyroidectomy and excision of two normal-sized parathyroids, until Oliver Cope, at the Massachusetts General Hospital, in 1936 at the seventh operation found a mediastinal parathyroid adenoma (3 cm large). Martell had insisted on a mediastinal exploration after reading about the variable parathyroid anatomy. The hypercalcemia was reversed, but despite autotransplantation of part of the adenoma to muscle, the patient experienced severe hypocalcemia and died from tetany and sepsis 6 weeks later, after an operation for an impacted ureter stone.

Keywords

Parathyroid Gland Recurrent Laryngeal Nerve Parathyroid Carcinoma Parathyroid Tumor Bilateral Neck Exploration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Göran Åkerström
    • 1
  • Peter Stålberg
    • 1
  • Ola Hessman
    • 1
  1. 1.Department of SurgeryUniversity HospitalUppsalaSweden

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