Endocrine Surgery by I. D. A. Johnston and Norman W. Thompson (Eds.)

By I. D. A. Johnston and Norman W. Thompson (Eds.)

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One feature not commonly appreciated is the profound proximal muscle weakness that can make ambulation a major problem. 4) in patients referred for reoperation. LOCALIZATION STUDIES Once the diagnosis has been established and the indications for reoperation confirmed, localization studies should be considered. In centers where invasive localization can be performed with minimal risk or morbidity all patients with Localization studies 45 disease severe enough to warrant reoperation should be candidates for localization.

WALFiSH, P. G. and MiSKEN, M. T h e ultra sound of thyroid masses. Surgical Clinics of North America, 59, 19-33 (1979) 17 RYO, U. , and PINSKY, s. Thyroid scintigram sensitivity with sodium pertechnetate " T c and gamma camera with phosphate collimator. Journal of the American Medical Association, 235, 1235-1238 (1978) is SILVERBURY, E. Cancer statistics. Cancer, 30, 23-38 (1980) 19 THOMAS, c. , Jr, BUCKWALTER, J. , STAAB, E. v. and KERR, c. γ. Evaluation of dominant thyroid masses. Annals of Surgery, 183, 463-469 (1976) STACHURA, M.

The vials are then stored at -190°C in the vapor phase of a liquid nitrogen freezer (LR 1000 nitrogen storage freezer, Linde Division, Union Carbide). In preparing the parathyroid slivers at the time of deferred transplantation, they are rapidly thawed in a 37 °C water bath until the last crystals are barely visible. Using a sterile technique, the tissue is washed three times in tissue culture media. The parathyroid pieces are then brought on ice to the operating suite and grafted by the previously described microsurgical technique.

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