FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1975133092> ?p ?o ?g. }

• W1975133092 endingPage "408" @default.
• W1975133092 startingPage "401" @default.
• W1975133092 abstract "The authors review their experience with initial bilateral neck exploration under local anesthesia and hypnosedation for primary hyperparathyroidism. Efficacy, safety, and cost effectiveness of this new approach are examined.Standard bilateral parathyroid exploration under general anesthesia is associated with significant risk, especially in an elderly population. Image-guided unilateral approaches, although theoretically less invasive, expose patients to the potential risk of missing multiple adenomas or asymmetric hyperplasia. Initial bilateral neck exploration under hypnosedation may maximize the strengths of both approaches while minimizing their weaknesses.In a consecutive series of 121 initial cervicotomies for primary hyperparathyroidism performed between 1995 and 1997, 31 patients were selected on the basis of their own request to undergo a conventional bilateral neck exploration under local anesthesia and hypnosedation. Neither preoperative testing of hypnotic susceptibility nor expensive localization studies were done. A hypnotic state (immobility, subjective well-being, and increased pain thresholds) was induced within 10 minutes; restoration of a fully conscious state was obtained within several seconds. Patient comfort and quiet surgical conditions were ensured by local anesthesia of the collar incision and minimal intravenous sedation titrated throughout surgery. Both peri- and postoperative records were examined to assess the safety and efficacy of this new approach.No conversion to general anesthesia was needed. No complications were observed. All the patients were cured with a mean follow-up of 18 +/- 12 months. Mean operating time was <1 hour. Four glands were identified in 84% of cases, three glands in 9.7%. Adenomas were found in 26 cases; among these, 6 were ectopic. Hyperplasia, requiring subtotal parathyroidectomy and transcervical thymectomy, was found in five cases (16.1%), all of which had gone undetected by localization studies when requested by the referring physicians. Concomitant thyroid lobectomy was performed in four cases. Patient comfort and recovery and surgical conditions were evaluated on visual analog scales as excellent. Postoperative analgesic consumption was minimal. Mean length of hospital stay was 1.5 +/- 0.5 days.Initial bilateral neck exploration for primary hyperparathyroidism can be performed safely, efficiently, and cost-effectively under hypnosedation, which may therefore be proposed as a new standard of care." @default.
• W1975133092 created "2016-06-24" @default.
• W1975133092 creator A5045116030 @default.
• W1975133092 creator A5049282476 @default.
• W1975133092 creator A5049537747 @default.
• W1975133092 creator A5059447404 @default.
• W1975133092 creator A5063240045 @default.
• W1975133092 creator A5063496008 @default.
• W1975133092 creator A5065327920 @default.
• W1975133092 creator A5073351381 @default.
• W1975133092 date "1999-03-01" @default.
• W1975133092 modified "2023-09-25" @default.
• W1975133092 title "Bilateral Neck Exploration Under Hypnosedation" @default.
• W1975133092 cites W134247937 @default.
• W1975133092 cites W1525378176 @default.
• W1975133092 cites W1573431736 @default.
• W1975133092 cites W179359056 @default.
• W1975133092 cites W1981594636 @default.
• W1975133092 cites W1984210690 @default.
• W1975133092 cites W1988115462 @default.
• W1975133092 cites W1990212618 @default.
• W1975133092 cites W1990669960 @default.
• W1975133092 cites W2011611575 @default.
• W1975133092 cites W2013866928 @default.
• W1975133092 cites W2029717762 @default.
• W1975133092 cites W2067529710 @default.
• W1975133092 cites W2068926720 @default.
• W1975133092 cites W2073216319 @default.
• W1975133092 cites W2074111364 @default.
• W1975133092 cites W2080618831 @default.
• W1975133092 cites W2082975264 @default.
• W1975133092 cites W2084182739 @default.
• W1975133092 cites W2087382779 @default.
• W1975133092 cites W2096266931 @default.
• W1975133092 cites W2109152437 @default.
• W1975133092 cites W2133423986 @default.
• W1975133092 cites W2133585024 @default.
• W1975133092 cites W2140386397 @default.
• W1975133092 cites W2158246359 @default.
• W1975133092 cites W2170386447 @default.
• W1975133092 cites W23605211 @default.
• W1975133092 cites W2416282657 @default.
• W1975133092 cites W2416334080 @default.
• W1975133092 cites W4238101318 @default.
• W1975133092 cites W4247370435 @default.
• W1975133092 cites W5867148 @default.
• W1975133092 cites W58871412 @default.
• W1975133092 cites W81105858 @default.
• W1975133092 cites W1564699681 @default.
• W1975133092 doi "https://doi.org/10.1097/00000658-199903000-00014" @default.
• W1975133092 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/1191706" @default.
• W1975133092 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/10077053" @default.
• W1975133092 hasPublicationYear "1999" @default.
• W1975133092 type Work @default.
• W1975133092 sameAs 1975133092 @default.
• W1975133092 citedByCount "54" @default.
• W1975133092 countsByYear W19751330922012 @default.
• W1975133092 countsByYear W19751330922013 @default.
• W1975133092 countsByYear W19751330922015 @default.
• W1975133092 countsByYear W19751330922016 @default.
• W1975133092 countsByYear W19751330922017 @default.
• W1975133092 countsByYear W19751330922018 @default.
• W1975133092 countsByYear W19751330922019 @default.
• W1975133092 countsByYear W19751330922020 @default.
• W1975133092 countsByYear W19751330922021 @default.
• W1975133092 countsByYear W19751330922023 @default.
• W1975133092 crossrefType "journal-article" @default.
• W1975133092 hasAuthorship W1975133092A5045116030 @default.
• W1975133092 hasAuthorship W1975133092A5049282476 @default.
• W1975133092 hasAuthorship W1975133092A5049537747 @default.
• W1975133092 hasAuthorship W1975133092A5059447404 @default.
• W1975133092 hasAuthorship W1975133092A5063240045 @default.
• W1975133092 hasAuthorship W1975133092A5063496008 @default.
• W1975133092 hasAuthorship W1975133092A5065327920 @default.
• W1975133092 hasAuthorship W1975133092A5073351381 @default.
• W1975133092 hasBestOaLocation W19751330922 @default.
• W1975133092 hasConcept C141071460 @default.
• W1975133092 hasConcept C2776742690 @default.
• W1975133092 hasConcept C2776814716 @default.
• W1975133092 hasConcept C2779053571 @default.
• W1975133092 hasConcept C2908647359 @default.
• W1975133092 hasConcept C42219234 @default.
• W1975133092 hasConcept C71924100 @default.
• W1975133092 hasConcept C99454951 @default.
• W1975133092 hasConceptScore W1975133092C141071460 @default.
• W1975133092 hasConceptScore W1975133092C2776742690 @default.
• W1975133092 hasConceptScore W1975133092C2776814716 @default.
• W1975133092 hasConceptScore W1975133092C2779053571 @default.
• W1975133092 hasConceptScore W1975133092C2908647359 @default.
• W1975133092 hasConceptScore W1975133092C42219234 @default.
• W1975133092 hasConceptScore W1975133092C71924100 @default.
• W1975133092 hasConceptScore W1975133092C99454951 @default.
• W1975133092 hasIssue "3" @default.
• W1975133092 hasLocation W19751330921 @default.
• W1975133092 hasLocation W19751330922 @default.
• W1975133092 hasLocation W19751330923 @default.
• W1975133092 hasLocation W19751330924 @default.
• W1975133092 hasOpenAccess W1975133092 @default.

• next