This review summarizes the results of studies concerning the problem of post-surgical hypoparathyroidism, a common complication of thyroid gland surgery, decreasing the quality of life in patients and, in some cases, leading to disability. A search for publications was carried out in electronic databases Web of Science, Scopus, Academic Search Complete (EBSCO), eLIBRARY, using keywords. The search depth was 7-10 years. Prevalence of post-surgical hypoparathyroidism was evaluated, the pathogenetic causes of the disease development, its clinical forms, methods of diagnosis and treatment were studied. It has been found that there is no single algorithm for analyzing the prognostic factors for the development of this pathological condition. It is emphasized that drug therapy of post-surgical hypoparathyroidism has a number of adverse effects. Therefore, the issues of prevention and surgical correction are of particular relevance. However, controversial opinions of contemporary authors about their clinical effectiveness determine the scientific and practical significance of further research on these issues.

Objective: to study the results of intraoperative infrared thermometry parathyroid glands to assess their functional status after performing thyroidectomy with the position of predicting the development of postoperative hypoparathyroidism. Materials and methods. The work was a prospective controlled study, which included 54 patients after thyroidectomy performed for benign thyroid diseases. The average of 50.4 ± 3.8 years. Indications for surgical treatment: in 19 patients - nodular non-toxic goiter with compression of the organs of the neck; in 17 - nodular toxic goiter; in 18 - Graves disease. From the study were excluded patients with a relapse after previously completed surgery. For intraoperative thermometry we used a infrared thermometer CEM®ThermoDianostics (production of JSC «CEM-technology»). The thermometry was performed sequentially, starting from the top right and finishing with the left lower parathyroid gland after thyroidectomy. For the initial level compare temperatures were taken temperature thyroid tissue. Results. When conducting the thermometry of thyroid tissue before the start of mobilization, the average level of temperature was 36.5[35; 37.5]°C. the Average temperature of the parathyroid glands was on average 2±0,5°C lower than this figure. When comparing the performance of intraoperative determination of PTH level with the data of thermometry it turned out that the decrease in the average temperature of the parathyroid glands less than 2°C, led to significant disruption of their function, which is confirmed by the results of intraoperative determination of PTH, and decrease in temperature by more than 2.5 - 3°C was a prognostic factor of postoperative hypocalcemia, which was registered in 4 patients.

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