الفهرس | Only 14 pages are availabe for public view |
Abstract Introduction: postoperative hypocalcaemia is a common complication and most always transient even after extensive thyroid surgeries. It may reveal iatrogenic injury to parathyroid glands and permanent hypoparathyroidism. Aim of the study: is to assess incidence of post-thyroidectomy hypocalcaemia and risk factors associated with development of hypocalcaemia. Methods: patients with simple, toxic or malignant goiter undergoing different types of thyroidectomies by consultants or non consultants were included in this study. Results: In 166 patients, 48 patients developed postoperative hypocalcaemia most of them were transient. Malignancy, hyperthyroidism, total thyroidectomy and total thyroidectomy with neck dissection were found as independent risk factors for hypocalcaemia. Conclusion: Post thyroidectomy transient hypocalcaemia is a frequent complication which can be prevented with preoperative preparation of patients with extreme caution and preoperative meticulous dissection, prompt identification of parathyroids and postoperative frequent monitoring of serum calcium and early treatment can prevent significant morbidity |