Postoperative hypoparathyreosis, ways of prevention and correction
Abstract
Postoperative hypoparathyreosis to present day is actual problem of surgical tyreodology. In spite of significant changes in approaches to the treatment of thyroid gland diseases, improvement of technical supplying of operating rooms, use of magnifying optics the frequency of development of postoperative hypoparathyreosis is still high. Traditional therapy of hypoparathyreosis by calcium and. vitamin D preparations has number of disadvantages and. doesn't always allow to provide good quality of life for patients. The article presents and. discusses modern, conceptions of authors about causes of development, existing ways of prevention and correction of postoperative hypoparathyreosis. Transplantation methods are considered prospective because parathyroid glands functions are directly replaced by parathyroid hormone. Scientists study influence of transplantation of parathyroid glands during many years. Autotransplantation is the most common method of transplantation of parathyroid glands, has low effectiveness and that's why it's offered to improve the results by choosing of transplantation zone. Ways of preparation of transplants, necessity of cryopreservation and microencapsulation of the cells, choice of optimum modes and. technical approaches are discussed during the study of allo- and xenotransplantation. Most of existing methods are experimentally proved but before now there's no united standard technique of replacement of parathyroid glands functions with use of transplantation that explains interest to this problem.
About the Authors
A. V. Ayusheeva
ФГБУ «Научный центр реконструктивной и восстановительной хирургии» СО РАМН
Russian Federation
Russian Federation
E. A. Iljicheva
ФГБУ «Научный центр реконструктивной и восстановительной хирургии» СО РАМН
Russian Federation
Russian Federation
S. A. Lepekhova
ФГБУ «Научный центр реконструктивной и восстановительной хирургии» СО РАМН
Russian Federation
Russian Federation
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For citations:
Ayusheeva A.V., Iljicheva E.A., Lepekhova S.A. Postoperative hypoparathyreosis, ways of prevention and correction. Acta Biomedica Scientifica. 2013;(1):160-164. (In Russ.)
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