2004
DOI: 10.1590/s0100-69912004000400004
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Hipocalcemia e hipoparatireoidismo clínico após tireoidectomia total

Abstract: ; Alberto R. Ferraz, TCBC-SP 5 RESUMO: Objetivo: O hipoparatireoidismo que se sucede à tireoidectomia total é uma complicação relativamente freqüente, porém, em geral, assintomática. O presente estudo foi realizado a fim de correlacionar níveis séricos pós operatórios de cálcio com sinais e sintomas de hipocalcemia. Método: Cinqüenta e sete pacientes submetidos à tireoidectomia total foram estudados retrospectivamente na Disciplina de Cirurgia de Cabeça e Pescoço do Hospital das Clínicas da Faculdade de Medici… Show more

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Cited by 5 publications
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“…For example, around 400 thyroidectomies are performed annually at the Hospital das Clínicas of the Faculdade de Medicina at Universidade de São Paulo (HCFMUSP) and at the Instituto do Câncer do Estado de São Paulo (ICESP), 74% of these cases due to cancer. Considering the best indicators of definitive hypoparathyroidism incidence published, ranging from 1 to 4.2% 1,2,12,13 , we would have 4 to 16 new cases per year only in our services, however, this figure may be even higher, considering the cases in which therapeutic neck dissection was also carried out.…”
Section: Discussionmentioning
confidence: 99%
“…For example, around 400 thyroidectomies are performed annually at the Hospital das Clínicas of the Faculdade de Medicina at Universidade de São Paulo (HCFMUSP) and at the Instituto do Câncer do Estado de São Paulo (ICESP), 74% of these cases due to cancer. Considering the best indicators of definitive hypoparathyroidism incidence published, ranging from 1 to 4.2% 1,2,12,13 , we would have 4 to 16 new cases per year only in our services, however, this figure may be even higher, considering the cases in which therapeutic neck dissection was also carried out.…”
Section: Discussionmentioning
confidence: 99%
“…In surgical manipulation during thyroidectomy, inadvertent resection or injury of vascular pedicle of the parathyroid glands can occur, with sudden and significant reduction in the levels of parathyroid hormone, which would lead to parathormone-dependent hypocalcemia [ 1 ], which probably causes the transitory hypoparathyroidism. One possible explanation for such a late event can be the scar retraction of parathyroids already handled and hypovascularized in the surgical bed with consequent worsening of hypovascularization.…”
Section: Discussionmentioning
confidence: 99%
“…It is traditionally classified into permanent (up to 33% of the cases) and transient hypoparathyroidism (up to 87% of the cases) [1]. At first, the symptoms appear within 48 hours and persist for a period of less than 6 months.…”
Section: Introductionmentioning
confidence: 99%
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