Volume : V, Issue : IV, April - 2016

POST-THYROIDECTOMY HYPOCALCAEMIA: AN INSTITUTIONAL STUDY

Bapurapu Raja Ram, Araboina Upender, Dodda Ramesh Kumar

Abstract :

<p> Background: The transient and permeanent hypocalcaemia causes considerable loss of health as well as wealth of the patient. The patients undergoing for thyroid surgery should allow elimination of the particular disease for which it was done and also keeping this post-operative complication of hypocalcaemia to a minimum. Study design: Case series Aim of the study: To identify the risk factors, that predispose to post-operative hypocalcaemia. Methodology: This prospective study was conducted up on 278 patients in surgical unit of Mahathma Gandhi Memorial Hospital, Kakatiya Medical Collage, Warangal, Telangana State, India., from January 2011 to Feuary 2016. Different thyroid surgeries were done for various thyroid disorders and observed for post-operative hypocalcaemia. Results were analysed. Results: 26 patients were with post-operative transient hypocalcaemia (9.35%) which were treated immediately with intravenous calcium gluconate and followed by serial serum calcium levels and 8 patients remained as persistent hypoparathyroidism (2.87%) which was confirmed by serum paratharmone levels. Hypocalcaemia developed in first 3 days of post-operative period. Permeanent hypoparathyroidism confirmed after 6 months of followup and confirmed with serum paratharmone (PTH) estimation. No mortality (0%). Conclusion: Proper pre-operative evaluation, preservation of parathyroids with refined surgical technique can lower the incidence of postthyroidectomy hypocalcaemia. Grave‘s disease, retrosternal goitres, large volume goitres and recurrent goitres are considered to be risk factors.</p>

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

Bapurapu Raja Ram, Araboina Upender, Dodda Ramesh Kumar POST-THYROIDECTOMY HYPOCALCAEMIA: AN INSTITUTIONAL STUDY Global Journal For Research Analysis, Vol.5, Issue : 4 APRIL 2016


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