ORBi: Defechereux Thierry - La chirurgie sous hypnosedation. Une nouvelle approche therapeutique pour l'hyperparathyroidie.

Reference : La chirurgie sous hypnosedation. Une nouvelle approche therapeutique pour l'hyperparathy...


	Document type :	Scientific journals : Article
	Discipline(s) :	Human health sciences : Surgery Human health sciences : Anesthesia & intensive care
	To cite this reference:	http://hdl.handle.net/2268/8052

Title :	La chirurgie sous hypnosedation. Une nouvelle approche therapeutique pour l'hyperparathyroidie.
Language :	French
Alternative title :	[en] Surgery under hypnosedation. A new therapeutic approach to hyperparathyroidism
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 >]
Publication date :	1998
Journal title :	Annales de Chirurgie
Publisher :	Elsevier
Volume :	52
Issue/season :	5
Pages :	439-43
ISSN :	0003-3944
City :	Paris
Country :	France
Keywords :	[en] 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.
Permalink :	http://hdl.handle.net/2268/8052

There is no file associated with this reference.

All documents in ORBi are protected by a user license.

Dspace v1.5