FREQUENCY OF HYPOCALCAEMIA POST TOTAL THYROIDECTOMY
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Keywords
Hypocalcaemia, Total thyroidectomy, Transient hypocalcaemia
Abstract
Background: Hypocalcemia is the most prevalent complication in total thyroidectomy patients and may occur in 10.6% to 50% of cases following total thyroidectomy. It can be a major contributor to extended hospitalisation, necessitating meticulous monitoring of symptoms and regular laboratory testing.
Objective: To determine the frequency of hypocalcemia among post total thyroidectomy patients
Materials and Methods: The present prospective study was conducted at the ‘Department of Otorhinolaryngology’, MTI, Bacha Khan Medical Complex, Swabi, Pakistan, from January 2018 to December 2022. 167 patients of both genders above 18 years of age, needing total thyroidectomy for both malignant and benign thyroid diseases and having normal serum calcium level were enrolled in the study after taking informed consent and approval of ethical board. Total thyroidectomy was performed under general anaesthesia and ‘ost-thyroidectomy serum calcium levels’ were obtained at 24 hours and 48 hours. Any hypocalcemia found was noted. The data obtained was analysed by SPSS version 23.
Results: Out of total 167 patients who underwent total thyroidectomy, 43 (25.75%) were biologically male while124 (74.25%) were female . Mean age was 48.31±13.6 years. Post-operative hypocalcemia was noted in 43 (48.31%) patients. Out of 43 patients who developed hypocalcemia, 7 (16.28%) were male and 36 (83.72%) were female and the etiology was malignant in 24 (55.81%) patients while benign in 19 (44.19%) patients,.
Conclusion: Hypocalcemia is one of the biggest concerns after total thyroidectomy. Preventing postoperative hypocalcaemia after thyroid surgery requires meticulous ‘surgical technique, identification and preservation of parathyroid glands and their vascularity’. Postoperative calcium monitoring and early therapy can prevent serious complications and thus save lives.
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Dr Tauseef Halim
Trainee Registrar, Department of ENT, MTI- Gajju Khan Medical College/ Bacha Khan Medical Complex, Swabi Pakistan.
Dr Arshad Abbas
Assistant Professor, Department of ENT, MTI- Gajju Khan Medical College/Bacha Khan Medical Complex Swabi Pakistan
Dr Wasim
Assistant Professor, Department of ENT, MTI- Bacha Khan Medical Complex, Swabi Pakistan
Dr Khalil Ullah
ENT Specialist, DHQ Hospital Khar Bajaur, District Bajaur Pakistan
Dr Mashal Nazir
Junior Registrar Department of Surgery and Allied, Bacha Khan Medical Complex, Swabi Pakistan
Dr Shagufta
Assistant Professor Dermatology, MTI- Bacha Khan Medical Complex, Swabi Pakistan
Dr Hamad Dad Khan
Speciality Registrar ST3, University Hospital Birmingham NHS Foundation Trust
Dr Raza Muhammad
Professor Department of ENT, MTI- Gajju Khan Medical College/Bacha Khan Medical Complex, Swabi Pakistan