👉Although most authors still favour the approach of selective (‘ready’) parathyroid autotransplantation, routine autotransplantation, a philosophical approach based on the understanding that while parathyroid autotransplantation is very effective, the viability of in situ vascularized parathyroids remains unpredictable with late ischaemia always a possibility.
👉The routine autotransplantation of at least one parathyroid gland during every total thyroidectomy, while unnecessary in most cases, provides insurance in cases where late ischaemia of the remaining glands actually occurs.
👉The parathyroid gland chosen for routine autotransplantation is either one determined to be non-viable on the basis of anatomical location or a failed knife-test, or else the least viable appearing of the remaining in situ glands.
👉Routine autotransplantion will be associated with an increase in the rate of temporary hypocalcaemia in the short term but has, in theory, the potential to reduce permanent hypoparathyroidism to zero.
#Arrangoiz
#ThyroidSurgeon
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#ThyroidExpert
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#HeadandNeckSurgeon
#Teacher
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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO
My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida.
I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016.
Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida.
Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.
View all posts by Rodrigo Arrangoiz MS, MD, FACS, FSSO
Rodrigo Arrangoiz MS, MD, FACS, FSSO 