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  1. Article ; Online: Schwannoma mandibular.

    Gómez, Natalia L / Boccalatte, Luis A / Nassif, María Gabriela

    Medicina

    2021  Volume 81, Issue 1, Page(s) 130

    Title translation Mandibular schwannoma.
    MeSH term(s) Diagnosis, Differential ; Humans ; Neurilemmoma/diagnostic imaging ; Neurilemmoma/surgery
    Language Spanish
    Publishing date 2021-02-05
    Publishing country Argentina
    Document type Journal Article
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Use of parathormone as a predictor of hypoparathyroidism after total thyroidectomy.

    Torre, Alejandro Yanzón-de la / Gómez, Natalia L / Abuawad, Carla / Figari, Marcelo F

    Cirugia y cirujanos

    2020  Volume 88, Issue 1, Page(s) 56–63

    Abstract: Background: Post-operative hypoparathyroidism is the most frequent complication after total thyroidectomy. It represents one of the main causes of prolonged hospital-stay and is associated with a significant increase in health costs. The identification ... ...

    Title translation Utilización de la parathormona como predictor de hipoparatiroidismo postiroidectomía total.
    Abstract Background: Post-operative hypoparathyroidism is the most frequent complication after total thyroidectomy. It represents one of the main causes of prolonged hospital-stay and is associated with a significant increase in health costs. The identification of patients with higher risk of suffering this complication allows early treatment, reduces clinical complications and adequate the use of health resources. Throughout history, several predictors have been used to stratify patients at risk. In recent years the use of parathormone parathyroid hormone (PTH) has taken particular interest.
    Objective: To review the existing literature on the use of PTH as a predictor of hypocalcemia after thyroidectomy.
    Method: A medline search was performed. We reviewed the existing evidence on efficacy of PTH as a predictor of post-operative hypocalcemia, economic impact, optimal time for sampling and implementation mode.
    Conclusion: The use of PTH predicts with adequate sensitivity, specificity, negative and positive predictive value the risk for the patients to suffer post-operative hypocalcemia. Cut-off values and sampling number and time vary among authors; as a result, more data is needed to reach a conclusion about the standardization of use after a total thyroidectomy procedure. It use could be beneficial not only for patients but also for care providers as health cost might be diminished.
    MeSH term(s) Biomarkers/blood ; Calcium/blood ; Calcium/economics ; Humans ; Hypocalcemia/blood ; Hypocalcemia/economics ; Hypocalcemia/etiology ; Hypoparathyroidism/blood ; Hypoparathyroidism/etiology ; Parathyroid Hormone/blood ; Parathyroid Hormone/economics ; Postoperative Complications/blood ; Postoperative Complications/etiology ; Predictive Value of Tests ; Sensitivity and Specificity ; Thyroidectomy/adverse effects ; Time Factors
    Chemical Substances Biomarkers ; Parathyroid Hormone ; Calcium (SY7Q814VUP)
    Language English
    Publishing date 2020-01-17
    Publishing country Mexico
    Document type Journal Article ; Review
    ZDB-ID 730699-4
    ISSN 2444-054X ; 0009-7411
    ISSN (online) 2444-054X
    ISSN 0009-7411
    DOI 10.24875/CIRU.19000983
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Hiperparatiroidismo ectópico. Detección de la localización mediastinal.

    Boccalatte, Luis A / Gómez, Natalia L / Olivera López, Soledad / Yanzon, Alejandro / Abuawad, Carla Y / Smith, David E / Mazzaro, Eduardo L / Figari, Marcelo F

    Medicina

    2020  Volume 80, Issue 1, Page(s) 39–47

    Abstract: The ectopic parathyroid tissue is a frequent cause of recurrent hyperparathyroidism (HPT), accounting 16% in primary HPT and 14% in secondary cases. Although intrathoracic ectopic glands represent 25-35% of all ectopic cases, only 2% requires thoracic ... ...

    Title translation Ectopic hyperparathyroidism. Detection of mediastinal localization.
    Abstract The ectopic parathyroid tissue is a frequent cause of recurrent hyperparathyroidism (HPT), accounting 16% in primary HPT and 14% in secondary cases. Although intrathoracic ectopic glands represent 25-35% of all ectopic cases, only 2% requires thoracic surgery. The aim of this study is to report a case series of patients with ectopic mediastinal HPT treated by thoracic approach in a private institution in Argentina. This is a retrospective analysis from January 2006 to June 2019. All patients diagnosed with ectopic hyperparathyroidism who required a thoracic surgical approach were included. During this period, 728 patients with primary HPT and secondary HPT were treated. Six with primary HPT and 3 with secondary HPT required a thoracic approach. Six video-assisted thoracoscopy surgeries (VATS) and 3 sternotomies were performed. None of them presented serious posoperative complications. Frozen section biopsy was used in all cases. iPTH was measured in 8 cases, with a mean drop of 65% after 15 minutes. Final pathology reports confirmed 5 adenomas and 4 hyperplasias. Our case series reported an incidence of 1.65% (12/728) mediastinal parathyroids, while 1.24% (9/728) received surgical treatment at our institution. Intraoperative frozen section and PTHi are useful to confirm the diagnosis and to avoid recurrences. Although VATS is a safe and efficient treatment option, it depends on surgical training and availability. In terms of diagnostic imaging resources, sestamibi remains the current gold standard. However, 18F-choline PET/CT may arise as a new diagnostic tool. The possibility of obtaining evidence-based conclusions requires studies with higher number of patients.
    MeSH term(s) Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Argentina/epidemiology ; Biopsy ; Female ; Humans ; Hyperparathyroidism/epidemiology ; Hyperparathyroidism/pathology ; Hyperparathyroidism/therapy ; Male ; Middle Aged ; Parathyroid Glands/pathology ; Positron Emission Tomography Computed Tomography ; Recurrence ; Retrospective Studies ; Sex Distribution ; Young Adult
    Language Spanish
    Publishing date 2020-02-03
    Publishing country Argentina
    Document type Journal Article
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Giant Esophageal Lipoma.

    Medici, Juan R / Gomez, Natalia L / Wright, Fernando G / Beskow, Axel F / Lenzi, Santiago / Duro, Agustin / Cavadas, Demetrio

    Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

    2015  Volume 20, Issue 2, Page(s) 473–475

    Language English
    Publishing date 2015-11-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2012365-6
    ISSN 1873-4626 ; 1934-3213 ; 1091-255X
    ISSN (online) 1873-4626 ; 1934-3213
    ISSN 1091-255X
    DOI 10.1007/s11605-015-3014-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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