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El Nov 29, 2003 3:12 pm, Text-conference, November 27 dijo:
[23:26] (MJesus> if you like, we could star now whits the last 2 conferences: these two
are presented as one, because are complementary:
[23:30] (|> PARATHYROIDECTOMY IN RENAL HYPERPARATHYROIDISM
[23:30] (|> Ulrich Neyer and Helmut Hörandner,
[23:30] (|> Department of Nephrology and Dialysis, LKH Feldkirch, Austria
[23:30] (|> Summary
[23:30] (|> We consider total parathyroidectomy and autotransplantation to be the
superior method for surgical treatment of advanced renal HPT because:
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[23:32] (|> __________ resume is over___________
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[23:32] (MJesus> congratulations !!!
[23:32] (MJesus> indeed the page with pathology are plenty of good images os paratiroids
[23:34] (MJesus> Dr. Neyer and Horander. who difficult are to find in biopsy all paratiroid tissue ?
[23:34] (neyer> thats 25 years of experience!
[23:35] (neyer> 11% of patients need further reoperation to find an additional gland
[23:35] (MJesus> 25 years !
[23:35] (MJesus> indeed.. I understand
[23:35] (Abboud> What is the percentage of recurrence of hyperparathyroidism from the transplanted tissue in the forearm?
[23:37] (neyer> there was only one recurrence in 83 patients with tissue selection
[23:37] (MJesus> very lower !
[23:38] (Abboud> In how many patients was the transplanted tissue not sufficient to sustain normal parathyroid function and patients had to have further supportive treatment?
[23:39] (neyer> 2 patients needed replantation of cryopreserved tissue
[23:40] (Abboud> Thanks Dr Neyer. Very interesting
[23:40] (MJesus> yes...
[23:40] (MJesus> what inclussion media use for Electron microsopy ?
[23:42] (neyer> VCD - also known as Spurr, LRWhite for big semithin sections (25mmmax) to start with
[23:42] (MJesus> ahh spurr...
[23:42] (MJesus> I have used much spurr...
[23:43] (MJesus> too difficult to learn, bur usefull for semithin sections !
[23:43] (neyer> and GMA wth facultative low temp embedding)-28degrees) for histochemistry
[23:43] (MSanchez> do you meet frequently ectopic paratiroid tissue, and where is find more frequently ?
[23:44] (neyer> 12& 5th glands, 1 pat with 7 glands
[23:45] (neyer> 12% should read
[23:45] (neyer> the 7th gland was on the pericardium
[23:45] (MJesus> oh! and how do you find here ?
[23:46] (MJesus> oh! and how do you find the gand in the pericardium
[23:46] (neyer> MIBI scan and CT
[23:47] (MSanchez> Thanks Dr Neyer.
[23:48] (MJesus> more questions ?
[23:49] (MJesus> Dres Ulrich Neyer and Helmut Hörandner, ... your work are impressive !
[23:49] (MJesus> now in Europe are almost midnight
[23:49] (neyer> thoracotomy was necessary
[23:49] (neyer> fig 1,4,6 was Spurr
[23:49] (neyer> fig 12 GMA embedding
[23:50] (Abboud> In Qatar it is 1:45 am
[23:50] (MJesus> :)) yesterday, in India, Drs. Balas, Batjani etc, are at 3.45 am
[23:50] (MJesus> what hour is in Viena ?
[23:51] (neyer> same as with you
[23:51] (MJesus> ah ok....
[23:52] (MJesus> indeed, is also the right day: 27..
[23:52] (MJesus> more commentary
[23:52] (MSanchez> Dr. Neyer, how frequent do you needs to reimplant the criopreserved glands ?
[23:53] (neyer> as above twice in 83
[23:53] (MJesus> almost a 20%
[23:54] (MJesus> is not much...
[23:54] (MSanchez> Thanks Dr Neyer.
[23:54] (neyer> 2%
[23:55] (MJesus> hummmm 12 /83 cases ?
[23:56] (MJesus> well .. ok
[23:56] (neyer> 2/83
[23:56] (MJesus> ok, ok !
[23:56] (MJesus> not to much
[23:56] (MJesus> statistically, your result are the best !
[23:57] (MJesus> have more questions or commentary ?
[23:57] (MJesus> well... if there are other we could use the discussion board
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