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La chirurgie sous hypnosedation. Une nouvelle approche therapeutique pour l'hyperparathyroidie.
Defechereux, Thierry; Faymonville, Marie; Joris, Jean et al.
1998In Annales de Chirurgie, 52 (5), p. 439-43
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Keywords :
Adult; Aged; Aged, 80 and over; Female; Follow-Up Studies; Humans; Hyperparathyroidism/surgery; Hypnosis, Anesthetic/methods; Male; Middle Aged; Parathyroidectomy/methods; Thyroidectomy/methods; Time Factors; Treatment Outcome
Abstract :
[en] The elective unilateral approach, sometimes under local anaesthesia, offers many advantages in terms of less invasive and faster surgical approach compared to the conventional surgery under general anaesthesia. Nevertheless this approach is restricted to patients unsuspected of multiglandular disease, free from thyroid disease and for whom localization studies are contributive. Surgery under hypnosedation offers the same advantages and provides the possibility of not only exploring the four glands but also of performing a partial thyroidectomy if needed. In our experience 21 patients underwent a cervicotomy under hypnosedation for primary hyperparathyroidism (HPT). No conversion to general anaesthesia was needed; mean operative time was 52 +/- 16 min. In 17 cases, HPT was due to a single adenoma, in 3 cases to hyperplasia (among them a MEN-1 case), and in one last case to a double adenoma. The four glands were identified in 85%. With a follow-up running from 4 to 45 months, all patients are cured. Hypnosedation offers the same medical and economic advantages than the unilateral access under local anaesthesia. Moreover indications are not restricted to selected patients.
Disciplines :
Surgery
Anesthesia & intensive care
Author, co-author :
Defechereux, Thierry ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Faymonville, Marie ;  Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Joris, Jean ;  Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Hamoir, Etienne ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Moscato, A.
Meurisse, Michel ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Language :
French
Title :
La chirurgie sous hypnosedation. Une nouvelle approche therapeutique pour l'hyperparathyroidie.
Alternative titles :
[en] Surgery under hypnosedation. A new therapeutic approach to hyperparathyroidism
Publication date :
1998
Journal title :
Annales de Chirurgie
ISSN :
0003-3944
Publisher :
Elsevier, Paris, France
Volume :
52
Issue :
5
Pages :
439-43
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 09 March 2009

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