The need to give calcium supplementation after total thyroidectomy.

Background: A prospective study was carried on female patients after total thyroidectomy to assess the need for calcium supplementation after surgery. Aim of work: To assess the need for routine calcium supplementation after total thyroidectomy. Patients and Methods: From 2017 to 2018, a total of 90 female patients with different thyroid disorders were conducted; thyroid cancer or previous neck surgery patients were excluded, neck ultrasound was done. Results: Study shows improvement in the level of serum calcium in the group already on supplementation. On the other hand it shows slight decrease in serum calcium level in the group without supplementation. The statistical analysis showed highly significant relationship between the Ca supplementation and hypocalcemia with P value of less than 0.05 Conclusion: Certain risk factors are associated with post-thyroidectomy hypocalcemia. Total thyroidectomy, thyroiditis and routine non calcium supplementation were found to be the main risk factors of post-thyroidectomy hypocalcemia in the present study.

[1]  G. Pedrazzi,et al.  Postoperative hypocalcemia: analysis of factors influencing early hypocalcemia development following thyroid surgery , 2019, BMC Surgery.

[2]  Jingqiang Zhu,et al.  Role of oral calcium supplementation alone or with vitamin D in preventing post-thyroidectomy hypocalcaemia , 2019, Medicine.

[3]  Surgical and Clinical Risk Factors of Postoperative Hypocalcemia after Total Thyroidectomy , 2019 .

[4]  A. Sanabria,et al.  Inferior thyroid artery ligation increases hypocalcemia after thyroidectomy: A meta‐analysis , 2018, The Laryngoscope.

[5]  A. Su,et al.  Hypomagnesemia predicts postoperative biochemical hypocalcemia after thyroidectomy , 2017, BMC Surgery.

[6]  T. Rageh,et al.  Intracapsular total thyroidectomy: no more complications in benign thyroid diseases , 2016 .

[7]  P. Rosário,et al.  Usefulness of Serum Calcitonin in Patients Without a Suspicious History of Medullary Thyroid Carcinoma and with Thyroid Nodules Without an Indication for Fine-Needle Aspiration or with Benign Cytology , 2016, Hormone and Metabolic Research.

[8]  A. K. Shaaeli THE INCIDENCE AND RISK FACTORS OF HYPOCALCAEMIA IN POST THYROIDECTOMY PATIENTS, PROSPECTIVE STUDY AT AL-HILLA TEACHING HOSPITAL - , 2015 .

[9]  S. Kargar,et al.  Risk of postoperative hypocalcemia in patients underwent total thyroidectomy, subtotal thyroidectomy and lobectomy surgeries. , 2014, Acta medica Iranica.

[10]  D. Gönüllü,et al.  Analysis of the factors that have an effect on hypocalcemia following thyroidectomy. , 2014, Ulusal cerrahi dergisi.

[11]  C. Wiener Harrison's principles of internal medicine , 2013 .

[12]  D. Chang,et al.  Predictors of Hypocalcemia after Thyroidectomy: Results from the Nationwide Inpatient Sample , 2012, ISRN surgery.

[13]  J. R. Carvalho,et al.  Predictors factors for post-thyroidectomy hypocalcaemia. , 2012, Revista do Colegio Brasileiro de Cirurgioes.

[14]  M. Hier,et al.  Female Gender as a Risk Factor for Transient Post-Thyroidectomy Hypocalcemia , 2011, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[15]  A. Sanabria,et al.  Routine postoperative administration of vitamin D and calcium after total thyroidectomy: a meta-analysis. , 2011, International journal of surgery.

[16]  K. Markou,et al.  Complications and risk factors related to the extent of surgery in thyroidectomy. Results from 2,043 procedures , 2010, Hormones.

[17]  J. Roh Calcium and Vitamin D Prevent Hypocalcemia After Thyroidectomy , 2007 .

[18]  P. Portincasa,et al.  The impact of single parathyroid gland autotransplantation during thyroid surgery on postoperative hypoparathyroidism: a multicenter study. , 2007, Transplantation proceedings.

[19]  G. Sakorafas,et al.  Incidental Parathyroidectomy during Thyroid Surgery: An Underappreciated Complication of Thyroidectomy , 2005, World Journal of Surgery.

[20]  A. Cingi,et al.  Early Prediction of Normocalcemia after Thyroid Surgery , 2005, World Journal of Surgery.

[21]  G. Wishart,et al.  Comparison of the complications of subtotal, near total and total thyroidectomy in the surgical management of multinodular goitre. , 2005, Endocrine journal.

[22]  C. Lombardi,et al.  Is routine supplementation therapy (calcium and vitamin D) useful after total thyroidectomy? , 2002, Surgery.

[23]  J. Brooks Current Surgical Diagnosis and Treatment , 1980 .

[24]  A C Dornhorst,et al.  Review of Medical Physiology. , 1966 .