from The American Heritage® Dictionary of the English Language, 4th Edition
- n. Surgical removal of the parathyroid glands.
from Wiktionary, Creative Commons Attribution/Share-Alike License
- n. The procedure to remove one or more of the parathyroid glands
from The Century Dictionary and Cyclopedia
- n. Excision of the parathyroid glands.
Risk-reducing prophylactic thyroidectomy (surgical removal of the entire thyroid gland) and sometimes parathyroidectomy (surgical removal of the parathyroid glands) may be necessary shortly after birth in children with more severe RET alterations.
It is probable that the tetany following parathyroidectomy is due to the accumulation of ammonium carbonate and Kendall has suggested that the function of the parathyroid is to convert ammonium carbonate into urea.
Cinacalcet is a calcimimetic agent that is approved for the treatment SHPT in patients with chronic kidney disease on dialysis and for the reduction of hypercalcaemia in patients with parathyroid carcinoma and with primary HPT for whom parathyroidectomy would be indicated on the basis of serum calcium levels (as defined by relevant treatment guidelines).
In the case of the parathyroidectomy, however, Dr. Gawande from the start had trouble finding what he was looking for.
Fifty-nine patients (51\%) underwent parathyroidectomy and 57 patients were followed up without surgery.
We previously reported that calciotropic indices and bone mineral density (BMD) are stable in untreated patients for up to a decade, whereas after parathyroidectomy, normalization of biochemistries and increases in BMD ensue.
Patient was initially managed by parathyroidectomy and later on was also treated with intravenous sodium thiosulfate thrice weekly with each hemodialysis session for duration of 10 weeks.