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Biomedical subjects

C Proye

Publications and source records attributed to C Proye.

234 records · Page 13Linked to original sources
PubMedDate not supplied

[Reoperative parathyroid surgery. 350 cervicotomies. 11 reoperations. Remarks].

One or more repeat operations were necessary to obtain full recovery in 11 out of 350 patients receiving surgery for hyperparathyroidism. Analysis of factors, sometimes multiple, leading to failure showed: poor surgical technique (3 cases), typical (2 cases) or rare (3 cases) ectopias, a supernumerary gland (2 cases), or lack of recognition of hyperplasia of the total parathyroid system (3 cases). Indications for and tactical modalities of reoperation are discussed, and emphasis placed on the unreliability of techniques employed pre-operatively to locate the diseased gland, the very rare need for sternotomy (1 case), and the remarkable possibilities of parathyroid autografts (4 cases). (4 cases).

Female↗
PubMedDate not supplied

[Parathyroid risk in thyroid surgery. Reality and prevention. 502 bilateral thyroidectomies].

Prospective study of parathyroid risk in a bulk of 502 consecutive bilateral thyroidectomies. Early post-operative hypocalcemia has been documented in 8,8% of the patients, but persisted in only 1,6% one year later. Late parathyroid risk of total thyroidectomy is 3,3% but increases twofold if neck dissection is simultaneously performed. Methods of this study probably misdiagnose a number of mild hypoparathyroidism. Lack of early hyperphosphoremia seems to be an optimizing criteria for aftermath. In Grave's disease, early post-operative hypocalcemia is more common (6,9%) but often subsides (definitive risk: 0,4%). This acceptable morbidity is compared to the data of literature. To prevent post-operative hypoparathyroidism a painstaking dissection of parathyroid blood supply seems more promising and effective than routine autotransplantation of the glands.

Graves Disease↗
PubMedDate not supplied

[Surgical treatment of Graves' disease : a survey (author's transl)].

A follow up study of 63 patients treated by subtotal thyroidectomy for diffuse toxic goitre was reported. The patients were operated when they were euthyroid, after a prolonged treatment with carbimazole and a short one with iodide solution. Only 3 or 4 g. of thyroid tissue remained after surgery. No serious complication, specially ocular, was seen. No patient was hyperthyroid 6 months after surgery and only one relapsed after 2 years. Hypothyroidism was observed in 35 % of cases within the 6 months after surgery and was increased up to 50 % after 5 years.

Adult↗