FREQUENCY OF HYPOCALCEMIA IN POST THYROIDECTOMY PATIENTS
DOI:
https://doi.org/10.52206/jsmc.2015.5.1.575-581Abstract
BACKGROUND: Hypocalcaemia is a common early complication occurring in post thyroidectomy
patients. The aim of this study was determine the frequency of hypocalcaemia serum calcium level less
then (8.2mg/dl) in patients who were operated upon for guiltier.
OBJECTIVES: The objectives of the study, was to determine the frequency of hypocalcaemia in postthyroidectomy patients.
PATIENTS AND METHODS: This is a descriptive, prospective study. The study was conducted in
the Department Of Surgery, Saidu Group of Teaching Hospital, Saidu Sharif Swat from January 2011 to
June 2014. Total of ninety patients were included in the study, these were the patients who underwent
total or near total thyroidectomy for any primary disease of thyroid gland like multinodular goiter and
carcinoma thyroid gland, irrespective of their ages and gender.
Patients undergoing lobectomy, subtotal or completion thyroidectomy as the risk of developing
hypocalcaemia is very low in these procedures, as well as patients having other medical problems
causing hypocalcaemia like Chronic Renal Failure ,acid base imbalance and osteomalacia, all of these
were excluded from study. Patients were divided into two groups, group a total thyroidectomy and group
B near total thyroidectomy. Preoperative serum ca++ level determined in all patients and then repeated on
the first post surgery day, and any decrease in serum ca++level noted in both groups.
RESULTS: Results obtained were tabulated and analyzed. 48 patients(53%) of patients were more than
40 years of age and there was female preponderance. 18 patients (20% )of patients developed
hypocalcaemia on the first post-operative day.30 patients(33.4%) of patients had symptoms of
hypocalcaemia on first post-operative day.
CONCLUSION: Symptomatically and statistically significant post-operative hypocalcaemia is most
common in the first postoperative day but prompt diagnosis is possible to institute treatment.
KEYWORD: Serum calcium levels, Post-operative, Thyroidectomy patients
Downloads
How to Cite
Issue
Section
License
Copyright (c) 2021 The authors retain the copyrights. Authors are permitted and encouraged to post their work online (e.g. in institutional repositories or on their website), as it can lead to productive exchanges, as well as greater citation of published work.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Readers may “Share-copy and redistribute the material in any medium or format” and “Adapt-remix, transform, and build upon the material”. The readers must give appropriate credit to the source of the material and indicate if changes were made to the material. Readers may not use the material for commercial purpose. The readers may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
