Sustained elevation of parathyroid hormone (PTH) levels is not uncommon post renal transplantation. Though in the majority of patients, it gradually normalizes, on average 5% of transplanted patients require parathyro...Sustained elevation of parathyroid hormone (PTH) levels is not uncommon post renal transplantation. Though in the majority of patients, it gradually normalizes, on average 5% of transplanted patients require parathyroidectomy (PTX). However, PTX itself has been associated with deterioration in allograft function and even completes graft loss seen with both total and subtotal PTX as well as an increased rate of acute rejection. The aim of this study was to determine the effect of post transplant partial PTX on allograft function in our patients as well as the incidence of acute rejection. Our results show that post transplantation, subtotal PTX, was successful in achieving metabolic control while preserving graft function without an increased incidence of acute rejection. Retention of sufficient residual parathyroid tissue with partial PTX might account for favorable outcome in our study. Despite this, surgery for advanced hyperparathyroidism should optimally take place in the pre-transplant period.展开更多
Congenital vaginouterine prolapse is a rare condition occurring in neonates and is usually associated with spinal cord malformations in about 80% of cases. Several modalities of treatment have been described for neona...Congenital vaginouterine prolapse is a rare condition occurring in neonates and is usually associated with spinal cord malformations in about 80% of cases. Several modalities of treatment have been described for neonatal genital prolapse (NGP). Conservative treatment in the form of simple digital reduction,usage of a pessary or other self-retaining device is usually sufficient to treat this condition,which is self-limiting and regressive. The authors report a new simple and effective method of conservative treatment that uses a Foley catheter to achieve permanent correction of this condition. A review of the literature regarding this uncommon condition is also provided.展开更多
文摘Sustained elevation of parathyroid hormone (PTH) levels is not uncommon post renal transplantation. Though in the majority of patients, it gradually normalizes, on average 5% of transplanted patients require parathyroidectomy (PTX). However, PTX itself has been associated with deterioration in allograft function and even completes graft loss seen with both total and subtotal PTX as well as an increased rate of acute rejection. The aim of this study was to determine the effect of post transplant partial PTX on allograft function in our patients as well as the incidence of acute rejection. Our results show that post transplantation, subtotal PTX, was successful in achieving metabolic control while preserving graft function without an increased incidence of acute rejection. Retention of sufficient residual parathyroid tissue with partial PTX might account for favorable outcome in our study. Despite this, surgery for advanced hyperparathyroidism should optimally take place in the pre-transplant period.
文摘Congenital vaginouterine prolapse is a rare condition occurring in neonates and is usually associated with spinal cord malformations in about 80% of cases. Several modalities of treatment have been described for neonatal genital prolapse (NGP). Conservative treatment in the form of simple digital reduction,usage of a pessary or other self-retaining device is usually sufficient to treat this condition,which is self-limiting and regressive. The authors report a new simple and effective method of conservative treatment that uses a Foley catheter to achieve permanent correction of this condition. A review of the literature regarding this uncommon condition is also provided.
