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Advanced Technical IVT

reimplantation

Surgical placement of parathyroid tissue into muscle after inadvertent removal.

Full Definition

A surgical technique used to preserve parathyroid function when parathyroid glands are inadvertently removed or devascularized during thyroid surgery. The parathyroid tissue is minced into small fragments and implanted into a well-vascularized muscle, typically the sternocleidomastoid or forearm brachioradialis muscle. This procedure aims to prevent permanent hypoparathyroidism by allowing the transplanted tissue to establish blood supply and maintain calcium homeostasis.

Usage

Usage note: Distinguish from 'transplantation' which implies transfer between different individuals.

In Context

  • "Due to inadvertent devascularization, reimplantation of the inferior parathyroid gland was performed into the sternocleidomastoid muscle." — operative report
  • "The patient's calcium levels normalized six months after parathyroid reimplantation." — follow-up note

Also known as

parathyroid autotransplantation parathyroid grafting

Contrasted with

parathyroid preservation in situ parathyroid

Don't confuse with

revascularization re-anastomosis

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