Hypocalcemia the aftermath of thyroid surgery, a prospective study
Journal Title: PARIPEX-Indian Journal of Research - Year 2017, Vol 6, Issue 8
Abstract
Background Post thyroidectomy hypocalcemia is a serious early complication. Estimates indicate that transient hypocalcemia incidence of 9.2% and permanent hypocalcemia incidence of 0.5%. Materials and Method A prospective observational study done among 51 patients who have undergone total thyroidectomies. Data was collected from these patients by meticulous history taking, careful clinical examination, appropriate radiological and hematological investigations serum calcium and serum albumn, operative findings and follow up of the cases will be done after surgery postoperative hypocalcemia. Results 18 (35%) patients out of 51 who had symptoms and signs of hypocalcemia. Incidence of post thyroidectomy hypocalcemia was found to be very high 71% of patients in age group more than 50 years. 100% of hypocalcemia was documented In completion thyroid. And highest risk of hypocalcemia in patients operated for thyroid malignancy. Conclusion Post thyroidectomy transient hypocalcaemia is a frequent complication which can be prevented with preoperative preparation with extreme caution and per-operative meticulous dissection, prompt identification of parathyriods and post operative frequent monitoring of serum calcium and early treatment can prevent significant morbidity.
Authors and Affiliations
Dr. R. Lakshmana Kumar, Dr. M. Senthil Kumar
Keywords
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