Incidence And Risk Factors Of Hypocalcemia After Thyroid Surgery

Almousawi, Haydar

	Incidence And Risk Factors Of Hypocalcemia After Thyroid Surgery
Kerbala Journal of Medicine
Article 1, Volume 9, Issue 2, 2016, Pages 2436-2442 PDF (0 K)
Author
Haydar Almousawi
Abstract
background: Hypocalcemia is a major post- operative complication of total thyroidectomy, causing severe symptoms and increasing hospitalization time. The primary cause is secondary hypo-parathyroidism following damage to, or devascularisation of, one or more parathyroid glands during surgery. Aim: Is to determine the incidence of hypocalcemia after thyroid surgery and find out the risk factors involved leading to hypocalcemia regarding gender and body habitus ,clinical diagnosis, extent of surgery, ligation of the inferior thyroid artery ,pathology report and the experience of the surgeon. Material and method: Prospective study of 100 patients in Al-Immamian Al-Kadhymian Medical City in peroid between November 2012-November 2013 included in subtotal, near total, total thyroidectomies. Serum calcium is estimated at day 1,2,3 postoperatively. Results and discussion: Thirty patients developed hypocalcemia postoperatively ,in 24 patients it was transient and in six patients was permanent (three of those six patients had underwent total thyroidectomy ,the other two had underwent near total thyroidectomy and the last patient had underwent subtotal thyroidectomy). Conclusion: Post-thyroidectomy hypocalcemia is relatively common phenomenon especially after extensive thyroid surgery.
Keywords
Hypocalcemia; thyroidectomy; postoperative

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