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Surgery for primary hyperparathyroidism performed under local anaesthesia

Bergenfelz, A LU ; Algotsson, L LU and Ahrén, B LU (1992) In British Journal of Surgery 79(9). p.4-931
Abstract

Patients with primary hyperparathyroidism are often elderly with cardiovascular disease and in some an operation might be hazardous owing to anaesthetic complications. A technique for operation for primary hyperparathyroidism under local anaesthesia is described. The method uses a unilateral approach. Seventeen consecutive patients operated on under local anaesthesia were compared with a group of 15 patients undergoing surgery under general anaesthesia. Normocalcaemia was achieved in 14 patients in each group. There was no difference in the extent of pain or the overall well-being between the two groups as determined by a visual analogue scale. Patients receiving local anaesthesia, however, experienced significantly less nausea after... (More)

Patients with primary hyperparathyroidism are often elderly with cardiovascular disease and in some an operation might be hazardous owing to anaesthetic complications. A technique for operation for primary hyperparathyroidism under local anaesthesia is described. The method uses a unilateral approach. Seventeen consecutive patients operated on under local anaesthesia were compared with a group of 15 patients undergoing surgery under general anaesthesia. Normocalcaemia was achieved in 14 patients in each group. There was no difference in the extent of pain or the overall well-being between the two groups as determined by a visual analogue scale. Patients receiving local anaesthesia, however, experienced significantly less nausea after operation (P < 0.01). There was more fluctuation in blood pressure and heart rate in the general anaesthesia group compared with the other group. Surgery for primary hyperparathyroidism can be performed safely under local anaesthesia, and could be offered to patients if general anaesthesia were not suitable or involved an increased perioperative risk. It should not be recommended for routine use in patients who are fit for general anaesthesia.

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organization
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type
Contribution to journal
publication status
published
subject
keywords
Adenoma, Aged, Anesthesia, Local, Female, Humans, Hyperparathyroidism, Male, Middle Aged, Parathyroidectomy, Postoperative Complications, Reoperation, Journal Article, Research Support, Non-U.S. Gov't
in
British Journal of Surgery
volume
79
issue
9
pages
4 pages
publisher
John Wiley & Sons
external identifiers
  • scopus:0026715222
ISSN
0007-1323
DOI
10.1002/bjs.1800790926
language
English
LU publication?
yes
id
59cb8722-02dc-4627-98cb-fac4fc25d1a4
date added to LUP
2017-05-10 17:48:14
date last changed
2017-05-23 15:18:34
@article{59cb8722-02dc-4627-98cb-fac4fc25d1a4,
  abstract     = {<p>Patients with primary hyperparathyroidism are often elderly with cardiovascular disease and in some an operation might be hazardous owing to anaesthetic complications. A technique for operation for primary hyperparathyroidism under local anaesthesia is described. The method uses a unilateral approach. Seventeen consecutive patients operated on under local anaesthesia were compared with a group of 15 patients undergoing surgery under general anaesthesia. Normocalcaemia was achieved in 14 patients in each group. There was no difference in the extent of pain or the overall well-being between the two groups as determined by a visual analogue scale. Patients receiving local anaesthesia, however, experienced significantly less nausea after operation (P &lt; 0.01). There was more fluctuation in blood pressure and heart rate in the general anaesthesia group compared with the other group. Surgery for primary hyperparathyroidism can be performed safely under local anaesthesia, and could be offered to patients if general anaesthesia were not suitable or involved an increased perioperative risk. It should not be recommended for routine use in patients who are fit for general anaesthesia.</p>},
  author       = {Bergenfelz, A and Algotsson, L and Ahrén, B},
  issn         = {0007-1323},
  keyword      = {Adenoma,Aged,Anesthesia, Local,Female,Humans,Hyperparathyroidism,Male,Middle Aged,Parathyroidectomy,Postoperative Complications,Reoperation,Journal Article,Research Support, Non-U.S. Gov't},
  language     = {eng},
  number       = {9},
  pages        = {4--931},
  publisher    = {John Wiley & Sons},
  series       = {British Journal of Surgery},
  title        = {Surgery for primary hyperparathyroidism performed under local anaesthesia},
  url          = {http://dx.doi.org/10.1002/bjs.1800790926},
  volume       = {79},
  year         = {1992},
}