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Parathyroid Transplantation Does Not Prevent Hypoparathyroidism after Thyroid Surgery

February 4, 2025

Kasmirski JA, Allahwasaya A, Wu C, et al. Does Parathyroid Autotransplantation Prevent Hypoparathyroidism after Thyroid Surgery? Ann Surg. 2025; in press.

Hypocalcemia due to hypoparathyroidism can occur due to damage or devascularization of parathyroid glands during thyroidectomy. Parathyroid transplantation has been suggested as an effective treatment for this condition, but comprehensive evidence supporting the value of this approach is lacking.

This study reported a retrospective analysis of 549 patients who underwent total thyroidectomy over an 8-year interval. A subgroup of 152 patients with postoperative parathyroid hormone levels below 10 units underwent parathyroid transplantation.

The data analysis showed similar rates of symptomatic hypoparathyroidism and transient hypocalcemia in patients who had parathyroid transplantation compared with patients who did not undergo transplantation.

The authors concluded that parathyroid transplantation did not alter outcomes in patients with low postoperative parathyroid hormone levels.

In This Issue

LISTEN: Surgeons’ Moral Contract Is Changing
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LISTEN: Surgeons’ Moral Contract Is Changing

Listen to Dr. Mark Weissler discuss changes in autonomy and self-regulation for surgeons are altering their moral contract.
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ACS Quality Verification Program Aids Hospital in Improving Collaboration and Communication
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ACS Quality Verification Program Aids Hospital in Improving Collaboration and Communication

A case study identifies the local problem at Henry Ford Hospital in Detroit, Michigan, as well as the planning and development that occurred to implement the QVP.
ACS Cancer Conference Can Improve Your Research, Accreditation Process, and More
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ACS Cancer Conference Can Improve Your Research, Accreditation Process, and More

Registration is now open for the 2025 ACS Cancer Conference and Workshops, March 12-14. We look forward to seeing you in Phoenix!
Nominate Young Surgeon-Scientist for Jacobson Promising Investigator Award
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Nominate Young Surgeon-Scientist for Jacobson Promising Investigator Award

The award recognizes outstanding surgeons who are engaged in research and dedicated to advancing the surgical field—nominate by March 3, 2025.
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Listen to Dr. Ronald Bleday discuss impact of enhanced recovery after surgery protocols across multiple hospitals.
Lawmakers Move to Reverse Medicare Payment Cut
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Lawmakers Move to Reverse Medicare Payment Cut

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Learn What’s Old and New with Appendicitis Treatment
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Article on Aortic Surgery Complication Lawsuit Examines Malpractice Risks
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Article on Aortic Surgery Complication Lawsuit Examines Malpractice Risks

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Military-Civilian Surgery Partnerships Advance Care at Home and Abroad
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Military-Civilian Surgery Partnerships Advance Care at Home and Abroad

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Hepatitis B Seropositive Donor Organs Can Be Transplanted Safely, Effectively
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Monitoring May Be Sufficient for Low-Risk Ductal Carcinoma in Situ

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Thermal Ablation Is Effective for Papillary Thyroid Carcinoma
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Thermal Ablation Is Effective for Papillary Thyroid Carcinoma

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