Parathyroid autotransplantation as a preventive method of postoperative hypoparathyrosis
The researches review dedicated to the parathyroid autotransplantation application to prevent postoperative hypoparathyrosis is presented in the article. Historic and clinical aspects of the problem are studied as well as the prospects of its solution. The literature analysis has demonstrated that together with parathyroid glands saving in situ, having satisfactory blood supply, parathyroid autotransplantation (PA) is an effective alternative to support parathyroid function; this is especially actual concerning the glands with a questionable viability. The necessity to perform autotransplantation of the parathyroid glands which have been removed or injured accidentally is of no doubt. At the same time up to present moment the most optimal variant of PA which would guarantee the parathyroid function saving hasn't been worked out. To improve PA results it is necessary to carry out further researches, aimed to work out new surgical approaches and estimation techniques of the parathyroid glands viability. To understand deeper the molecular bases of PA it is required to study peculiarities of revascularization, reinnervation, and reimplantad parathyroid tissue functioning.