Factors Affecting Hypocalcaemia Following Total Thyroidectomy: A Prospective Study

Özoğul, Bünyamin; Akçay, Müfide Nuran; Akçay, Güngör; Bulut, Özgür

doi:10.5152/eajm.2014.03

Cited by 20 publications

(20 citation statements)

References 16 publications

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“…11,12 Permanent hypoparathyroidism varies between 0.4% and 33%. 13,14 Rate of permanent and temporary parathyroid deficiency in our group of patients were 0 and 3.4% respectively. The rate is very much low compared to the rates in many series, including those with capsular dissection technique.…”

Section: Resultsmentioning

confidence: 54%

Outcome of Capsular Dissection Using Monopolar Cautery in Thyroidectomy- A Retrospective Study

R¹,

Santhosh²

2019

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BACKGROUNDThe main post-operative complications of thyroidectomy are temporary hypocalcaemia (20%), permanent hypocalcaemia (4%), transient vocal cord palsy (1-2%) and permanent vocal cord palsy (0.5-1%). These complications are less with experienced surgeons using capsular dissection technique. The technique of capsular dissection can be done with the conventional technique or using other energy sources. Our study aims to find the outcome of capsular dissection using monopolar cautery. We wanted to study the outcome of capsular dissection technique, using monopolar cautery, during thyroid surgery, with regard to complications, bleeding and time taken for the procedure. METHODSThis is a retrospective study conducted in the Department of Surgery, Government Medical College, Thrissur. Details of patients undergoing thyroidectomy by capsular dissection technique, using monopolar cautery, during the period 2012 to 2015 were collected. Collected data was subjected to statistical analysis with the help of SPSS Ver. 21.0. Basic statistical methods like percentage analysis is used for analysis of data. RESULTS115 patients who underwent thyroidectomy for varying indications during the period and satisfying the inclusion criteria were included in the study. All patients were operated under general anaesthesia. All surgeries were done by the same surgeon, by capsular dissection technique using monopolar cautery. Average time duration was 79 minutes for total and 60 minutes for hemi-thyroidectomy. Blood loss was less than 30 ml. in all patients. There was no mortality. Overall complication rate was 5.2%. Transient hypocalcaemia was 3.4%, temporary hoarseness was 2.2% and wound haematoma was 0.8%. CONCLUSIONSCapsular dissection using monopolar cautery in thyroidectomy is safe and effective. This technique is less time consuming, causes only minimal bleeding and has lower complication rate.

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Section: Resultsmentioning

confidence: 54%

Outcome of Capsular Dissection Using Monopolar Cautery in Thyroidectomy- A Retrospective Study

R¹,

Santhosh²

2019

jebmh

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“…Thomusch et al [14] in their study reported that women have higher rates at both permanent and transient hypoparathyroidism. In a study conducted in our country, the rate of hypocalcemia in males was 11.6% and in females this rate was found to be 27.5% and the ratio was found statistically significant [15]. Unal et al [16] in their study on 1022 patients found that the rate of transient and permanent hypocalcemia was significantly higher in women.…”

Section: Discussionmentioning

confidence: 80%

The importance of extra care for parathyroid gland secure during total thyroidectomy

Temiz¹

2019

Ann Clin Anal Med

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Aim: One of the most common complications after thyroid surgery is hypocalcemia. Hypocalcemia can be seen transiently or permanently. In this study, we aimed to reveal the factors affecting the development of hypocalcemia in patients who underwent total thyroidectomy. Material and Method: The files of the patients who underwent thyroidectomy between September 2009 and December 2014 were reviewed retrospectively. Patient files were reviewed for age, gender, thyroid function tests, postoperative calcium values, pathology reports and peroperative parathyroid auto-implantation. Patients were grouped according to the presence of transient and permanent hypocalcemia. The effects of the obtained data on the effects of transient and permanent hypocalcemia were investigated. Results: Eight hundred and twenty-four patients were included in our study. The mean age of the patients was 46.56 ± 12.52. Of the patients, 115 (14%) were male and 709 (86%) were female. While the incidence of permanent hypocalcemia was 1.3%, the incidence of transient hypocalcemia was 27.3%. Factors affecting the development of transient hypocalcemia were female gender (p <0.001), hyperthyroidism (p <0.001), parathyroid auto-implantation (p = 0.001), and incidental parathyroid excision (p <0.001). The only factor affecting the development of permanent hypocalcemia was incidental parathyroid excision (p <0.001). Discussion: Incidental parathyroid excision has an effect on the development of both transient and permanent hypocalcemia, whereas sex, hyperthyroidism, and parathyroid auto-implantation have an effect on transient hypocalcemia.

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“…The incidence of hypocalcaemia was 10 -46 % noted in most of the literatures [5,7,9]. Transient hypocalcaemia is a common occurrence after total thyroidectomy [1,10,11].…”

Section: Discussionmentioning

confidence: 99%

“…The persistent hypocalcaemia after 6 months of thyroidectomy is considered permanent hypocalcaemia [5]. The incidence of permanent hypocalcaemia is less than 1-2 % [6,7]. Hypocalcaemia may be asymptomatic or symptomatic depending on the serum calcium level.…”

Section: Introductionmentioning

confidence: 99%

Incidence of post-operative hypocalcaemia after thyroidectomy - a retrospective study

Raviraj

Vaseethan

2017

Sri Lanka j Surg

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Factors Affecting Hypocalcaemia Following Total Thyroidectomy: A Prospective Study

Abstract: The factors associated with hypocalcaemia were defined to be "gender, preoperative diagnosis, parathyroid gland injury, nodule size and vitamin D deficiency", it is a multifactorial problem and it would not be proper to define a few etiological factors.

Cited by 20 publications

References 16 publications

Outcome of Capsular Dissection Using Monopolar Cautery in Thyroidectomy- A Retrospective Study

Outcome of Capsular Dissection Using Monopolar Cautery in Thyroidectomy- A Retrospective Study

The importance of extra care for parathyroid gland secure during total thyroidectomy

Incidence of post-operative hypocalcaemia after thyroidectomy - a retrospective study

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