Early Predictors of Hypocalcemia After Total Thyroidectomy

[Incidence of hypocalcemia after total thyroidectomy].

BACKGROUND Postoperative hypocalcemia is one of the most common complications of thyroid surgery. It is related to the type of disease (malignant or benign), the number of identified parathyroid glands during the surgical procedure, and the surgeon's experience. Total thyroidectomy is the procedure of choice in our hospital for benign and malignant thyroid disease, but it can increase the incid...

Critical Points Regarding Hypocalcemia after Total Thyroidectomy.

I read with interest the article “Comparison of Intraoperative versus Postoperative Parathyroid Hormone Levels to Predict Hypocalcemia Earlier after Total Thyroidectomy,” by Lee et al, published online in Otolaryngology–Head and Neck Surgery. The authors analyzed the differences in the mean parathyroid hormone levels for normocalcemic and hypocalcemic total thyroidectomy patients who were teste...

Hypocalcemia following total thyroidectomy: early factors predicting long-term outcome.

Hypocalcemia following total thyroidectomy (TT) must be considered permanent in patients requiring calcium replacement after one year. The aim of this study was to identify early risk factors predicting long-term outcome of postoperative hypocalcemia. Among 453 patients who underwent TT from January 1998 to May 2003, a cross-sectional study between 44 patients with transient hypocalcemia (9.7%)...

The electrocardiogram in hypothyroidism and hypocalcemia after total thyroidectomy.

Parathyroid hormone: an early predictor of symptomatic hypocalcemia after total thyroidectomy.

OBJECTIVE The purpose of this study was to evaluate if the measurement of peri-operative parathyroid hormone (PTH) is able to identify patients with increased risk of developing symptoms of hypocalcemia. SUBJECTS AND METHODS Forty patients who underwent total thyroidectomy were studied prospectively. Ionized serum calcium and PTH were measured after induction of anesthesia, one hour (PTH1) an...