Study of the incidence of hypocalcemia in patients undergoing bilateral thyroid surgery

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dc.contributor.authorDhiman, Baleshwaren_US
dc.contributor.authorDalal, Satishen_US
dc.contributor.authorDalal, Nityashaen_US
dc.contributor.authorRaman, Sethuen_US
dc.date.accessioned2020-11-18T10:05:32Z
dc.date.available2020-11-18T10:05:32Z
dc.date.issued2020-09
dc.description.abstractBackground: Thyroid surgery are among the most common operations performed all over the world. Hypocalcemia following total thyroidectomy is a fairly common complication. Occurrence of acute hypocalcemia can be predicted in patients undergoing thyroid surgery, based on serial calcium measurement and this helps in early prediction of hypocalcemia. The aim of present study was to assess the incidence of post thyroidectomy hypocalcemia and factors which might play a role in its occurrence.Methods: A total 30 patients who underwent bilateral thyroidectomy were analysed. The study period was from June 2017 to March 2019. The incidence of hypocalcemia was analysed with serial calcium estimation in immediate post-operative period, 4 hours and 24 hours after surgery and on 5th post-operative day. The factors analysed included pre-operative and post-operative serum calcium levels, clinical features, the disease type and factors related to surgery. The ethical approval was taken from the ethical committee of the institute. At the end of the study data was collected and analysed by using student t-test and chi square test. A p-value of less than 0.05 was considered significant.Results: Post-operative transient hypocalcemia developed in 21 patients out of 30 (70%). Of them six patients (28.75%) developed severe hypocalcemia and 15 (71.42%) developed mild to moderate hypocalcemia. Out of six patients, five patients were histopathologically diagnosed as malignant thyroid disease. 15 patients who developed mild to moderate hypocalcemia were diagnosed to be having benign thyroid conditions.Conclusions: Patients underwent thyroid surgery for malignant conditions showed higher incidence and severity hypocalcemia as compared to cases where surgery was performed for benign thyroid disease. This complication can be prevented with meticulous perioperative dissection, prompt identification of parathyroid glands and frequent postoperative monitoring of serum calcium levels.en_US
dc.identifier.affiliationsDepartment of General Surgery, Pt. BD Sharma PGIMS Rohtak, Haryana, Indiaen_US
dc.identifier.citationDhiman Baleshwar, Dalal Satish, Dalal Nityasha, Raman Sethu. Study of the incidence of hypocalcemia in patients undergoing bilateral thyroid surgery. International Surgery Journal. 2020 Sep; 7(9): 2914-2918en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/213298
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber9en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20203767en_US
dc.subjectHypocalcemiaen_US
dc.subjectIncidenceen_US
dc.subjectParathyroid glandsen_US
dc.subjectSubtotal thyroidectomyen_US
dc.subjectTotal thyroidectomyen_US
dc.titleStudy of the incidence of hypocalcemia in patients undergoing bilateral thyroid surgeryen_US
dc.typeJournal Articleen_US
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