RT Journal Article
SR Electronic
T1 The prevalence of hypocalcemia following total thyroidectomy
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 431
OP 434
DO 10.15537/smj.2020.4.25045
VO 41
IS 4
A1 Fatma K. Althoubaity
A1 Sultan A. Almusallam
A1 Abdullah S. Alghorair
A1 Faisal S. AlQahtani
A1 Omar M. Khotani
A1 Naif F. Bamakhish
A1 Ammar D. Alzriri
YR 2020
UL http://smj.org.sa/content/41/4/431.abstract
AB Objectives: To estimate the prevalence of hypocalcemia following total thyroidectomy (TT) at a tertiary center.Methods: This retrospective study was conducted between 2014 and 2019 at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia. The study was based at the Department of General Surgery and was approved by the Research Ethics Committee of KAUH. Medical records of 154 patients who had undergone TT were reviewed. Data such as age, gender, level of postoperative calcium at 24 and 48 hours after surgery, parathyroid hormone (PTH) levels, central neck dissection (CCND), histological diagnosis were entered into Microsoft Excel sheets.Results: Hypocalcemia occurred more on the second day after surgery in 67.4% of patients. Among them, 83.9% were female and 16.1% were male. The majority of patients were asymptomatic and benign thyroid disease was the most common. There was a significant association between hypocalcemia and the PTH level (p<0.001).Conclusion: There was a high prevalence of hypocalcemia on the second day after surgery. Presence of hypocalcemia association with the PTH level. Meticulous surgical technique and preservation of parathyroid vascularity are important in preventing postoperative hypocalcemia.