{"id":7266,"date":"2022-12-23T11:03:54","date_gmt":"2022-12-23T11:03:54","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=7266"},"modified":"2022-12-23T11:15:01","modified_gmt":"2022-12-23T11:15:01","slug":"the-potential-for-day-case-total-parathyroidectomy-in-patients-with-secondary-hyperparathyroidism-2022","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2022\/12\/23\/the-potential-for-day-case-total-parathyroidectomy-in-patients-with-secondary-hyperparathyroidism-2022\/","title":{"rendered":"The potential for day case total parathyroidectomy in patients with secondary hyperparathyroidism (2022)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*McDonald S.; *Al-Saadi N.; *Chang J.; *Neophytou C.; *Houghton A.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nBritish Journal of Surgery. Conference: Association of Surgeons of Great Britain and Ireland Annual Congress, ASGBI 2022. Liverpool United Kingdom. 109(Supplement 5) (pp v106), 2022. Date of Publication: 2022.<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nAims: Hypocalcaemia is a common complication after parathyroidectomy for secondary hyperparathyroidism (SHpT) and is of ten The cause of a prolonged hospital stay post operatively. Although there is no current guidance on targets for total parathyroidectomy for SHpT, current guidance recommends a day-case rate of 90% for patients undergoing Surgery for primary hyperparathyroidism. Our centre has developed a safe protocol which allows us to perform total parathyroidectomies as a day-case procedure in patients with SHpT. This protocol, developed in conjunction with The renal physicians, involves giving The patients alpha calcidol pre-operatively for 5 days, to minimise The incidence of hypocalcaemia, and close monitoring of The calcium levels post operatively, to permit safe discharge. Method(s): We carried out a single centre retrospective study on all patients who underwent a total parathyroidectomy for SHpT between February 2005 and May 2021. All The patients received The alpha calcidol regimen pre-operatively. Data on patient baseline characteristics, peri-operative calcium, potassium and PTH levels, length of hospital stay, operative procedure details, hospital readmission and 30-day morbidity were collected. Result(s): 49 patients underwent a total parathyroidectomy during The study period. 67% of patients were discharged on day 0 or on day 1 post-operatively. Reasons for prolonged hospital stay in The remaining patients included refractory hyperkalaemia requiring dialysis, complications secondary to anaesthesia, as well as hypocalcaemia in a few cases. No patients required readmission during The 30-day post-operative period. Conclusion(s): Day-case Surgery for SHpT can be achieved safely with a pre-operative regimen of alpha calcidol and close monitoring of calcium levels post-operatively.<\/p>\n<p><a href=\"https:\/\/libkey.io\/libraries\/1791\/articles\/537608060\/full-text-file\">Link to full-text<\/a> [no password required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *McDonald S.; *Al-Saadi N.; *Chang J.; *Neophytou C.; *Houghton A. Citation: British Journal of Surgery. Conference: Association of Surgeons of Great Britain and Ireland Annual Congress, ASGBI 2022. Liverpool United Kingdom. 109(Supplement 5) (pp<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2022\/12\/23\/the-potential-for-day-case-total-parathyroidectomy-in-patients-with-secondary-hyperparathyroidism-2022\/\">Read more <span class=\"screen-reader-text\">The potential for day case total parathyroidectomy in patients with secondary hyperparathyroidism (2022)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[1017,228],"class_list":["post-7266","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-1017","tag-surgery"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7266","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=7266"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7266\/revisions"}],"predecessor-version":[{"id":7274,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7266\/revisions\/7274"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=7266"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=7266"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=7266"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}