A prospective study on variations in serum calcium levels after thyroidectomy in benign and malignant thyroid diseases in indian population
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
BACKGROUND: Post-operative hypocalcemia is a common event after extensive thyroid surgery. It can be transient or permanent. It can symptomatic or asymptomatic.symptomatic patients can present with mild or severe symptoms accordinlg to which correction of serum calcium levels may be required. AIMS: Our study is to evaluate the incidence of hypocalcemia after total thyroidectomy,to analyse the severity of presentation and to study about various modalities of treatment available. METHODS: The study was carried out in 50 patients (42 females and 8 males, whose age was between 20 and 65 years, who had undergone total thyroidectomy (TT) in our department from 2016 to 2018 RESULTS: Post-operative hypocalcemia was observed in 20 patients and the decrease of the serum calcium level lasted about 3 days, and went back to normal within the 5th day. Of those 20 patients , 5 patients had mild symptoms ,others were asymptomatic.In 2 patients out of the 50 who underwent total thyroidectomy, hypocalcemia was severe (confirmed for more than 7 days, symptomatic),both of them underwent total thyroidectomy with neck nodal dissection. In both cases the clinical and biological aspects went back to normal within 10 days, after a treatment with calcium and vitamin D. CONCLUSION: The results obtained confirm that transient hypocalcemia is a common feature in post thyroidectomy patients. Of those asymptomatic hypocalcemia is common. We found that post-operative hypocalcemia may be due to transient parathyroid gland ischemia or handling during surgery or accidental to injury to the parathyroid glands (parathyroid ischaemia or surgical ablation of one or more glands.The results of our study, show that radical thyroid surgeries with central neck node dissection can lead to inadvertent injury of parathyroids that may result in transient mild or prolonged severe hypoparathyroidism and hence hypocalcemia . Surgeries done under meticulous care can avoid such problems.
Authors and Affiliations
Dr. G. Raj Ashok M. S. , Dr. P. Sumathi M. S. D. G. O.
Keywords
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- EP ID EP381841
- DOI 10.9790/0853-1709010611.
- Views 25
- Downloads 0
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