Clinical, Biochemical, Peroperative Factors Predicting Hypocalcemia in Patients Undergoing Total Thyroidectomy-Our Institute Experience
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Total thyroidectomy is a common surgical procedure which has well known complications and hypocalcemia is an important complication encountered commonly. Hypocalcemia is one of the serious complication of thyroid surgery especially total thyroidectomy. Incidence of hypocalcemia ranges from 2- 30%(1). Occurrence of post thyroidectomy hypocalcemia is commonly seen several days after total thyroidectomy. This delay will challenge many clinician to monitor serum calcium level periodically. Methods:Patients attending our outpatient surgical clinic with thyroid disorder requiring total thyroidectomy were selected. Total of 52 patients who underwent total thyroidectomy were included in study in whom various factors predicting hypocalcemia in the preoperative, perioperative and postoperative period were assessed, with serial monitoring of postoperative calcium and PTH levels. Results: In our study the incidence of symptomatic hypocalcemia apparent in the postoperative period was 34.6% i.e. 18 out of 52 patients. All patients had initial fall in serum ionized calcium level in the postoperative period. In all patients the fall in ionized calcium levels was noticed at 12 hours after surgery. Serum calcium continued to fall in 18 patients at 24 hours post operatively who had a fall in serum calcium at 12 hours postoperatively. By serial calcium measurement remaining 34 patients serum calcium level remained normal like its preoperative levels. At 72 hours those 18 patients who had hypocalcemia continued to show low serum calcium level.
Authors and Affiliations
Dr. G. Muthukumaran, Dr. M. Krishnamoorthy, Dr. Rajeswari
Keywords
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- EP ID EP576617
- DOI 10.9790/0853-1701066266.
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