%0 Journal Article
%T Surgical Treatment of Hyperparathyroidism Secondary to Chronic Renal Failure: Our Experience with the 7/8 Subtotal Parathyroidectomy Technique
%A Ahmadou C. Sall
%A Mame S. Diouf
%A Houra Ahmed
%A Ngor Ndour
%A Ciré
%A Ndiaye
%A Abdou Sy
%A Richard E. A. Deguenonvo
%A Evelyne S. Diom
%A Malick Ndiaye
%A Abdourahmane Tall
%A Bay K. Diallo
%A Issa C. Ndiaye
%A Raymond Diouf
%J International Journal of Otolaryngology and Head & Neck Surgery
%P 25-30
%@ 2168-5460
%D 2022
%I Scientific Research Publishing
%R 10.4236/ijohns.2022.111004
%X Introduction: Surgical management takes place, after a certain period of evolution, on particularly severe forms of secondary hyperparathyroidism, resistant to medical treatment. Subtotal parathyroidectomy is an effective technique in the treatment of these disorders. Method: Our study is retrospective of 33 cases of hyperparathyroidism secondary to chronic renal failure in dialysis patients operated by the 7/8 technique. Identified over a period of 10 years (January 2010 to December 2019), in the ENT department of the Fann University Hospital. Results: Out of 33 cases of secondary hyperparathyroidism, the average age of our patients was 51.24 years with a sex ratio of 0.43. Causal nephropathy was dominated by nephro-angiosclerosis, which was found in 27.27% of cases. Bone pain found in 23 patients or 69.69% was the predominant clinical sign. The average calcemia was 92.7 mg/l. Parathormone was dosed in all our patients and the average was 1611.05 ng/l. The consequences were clinically marked by recurrent paresis in one patient. No case of hematoma or postoperative infection was found. On the biological level 10 patients or 30.30% had a transient hypocalcaemia. The results were marked by a drop in PTH in 23 patients or 78.78% of cases. Conclusion: Subtotal parathyroidectomy remains an effective and beneficial therapeutic method for kidney failure patients with secondary hyperparathyroidism.
%K Secondary Hyperparathyroidism
%K 7/8 Parathyroidectomy
%K Transient Hypocalcemia
%K Persistent Hyperparathyroidism
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=114553