Role of Intact Parathormone Levels as Early Predictor of Asymptomatic Hypocalcaemia after Total Thyroidectomy

Postoperative PTH measurement as a predictor of hypocalcaemia after thyroidectomy.

BACKGROUND Hypocalcaemia after thyroidectomy is the most common postoperative complication, with a reported incidence from 0.5% to even 50% of the operated patients. Hypoparathyroidism could be a result of careless or inadequate preparation during the surgical procedure. There is a variety of proposed options for the prediction of the incidence of hypocalcaemia. The most effective of them are t...

Is Decline Rate of Intact Parathyroid Hormone Level a Reliable Criterion for Early Discharge of Patients after Total Thyroidectomy?

Introduction: Parathyroid dysfunction leading to symptomatic hypocalcemia is not uncommon following a total thyroidectomy and is often associated with significant patient morbidity and a prolonged hospital stay. The current study aimed at evaluating the comparative predictive role of serum calcium and intact parathyroid hormone (iPTH) for post-thyroidectomy hypocalcemia.   Materials and Methods...

[Serum PTH levels as a predictive factor of hypocalcaemia after total thyroidectomy].

INTRODUCTION Postoperative parathyroid hormone (PTH) levels as a predictor of hypocalcaemia in patients subjected to total thyroidectomy is analyzed. MATERIAL AND METHOD Prospective study involving 67 patients who underwent total thyroidectomy due to a benign disease. Serum PTH and ionised calcium were measured 20 h after surgery. Sensitivity, specificity and predictive values of PTH and ioni...

Hypocalcaemia After Total Thyroidectomy: Incidence, Control and Treatment

Hypocalcaemia after total thyroidectomy: incidence, control and treatment.

INTRODUCTION Hypocalcaemia, although usually transitory, is the most frequent complication after total thyroidectomy. OBJECTIVE To identify factors associated with a higher risk of hypoparathyroidism and related to aetiology and surgical procedure. MATERIALS AND METHODS A total of 254 total thyroidectomies were analysed for the incidence of transitory or permanent hypocalcaemia based on the...