incidence of post throidectomy hypocalcemia

7/24/2019 incidence of post throidectomy hypocalcemia

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DR SEHRISSIDDIQUE

PGT SURGICAL UNIT 1BBH,RWP


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Incidence ofHypocalcemafter Thyroid Surgery:

A retrospective std!

"r Se#ris# Siddi$e

Resident Sr%ica& Unit 1


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INTRODUCTION

Hypocalcemia is a most common known complication after thyroidectom

prompt diagnosis and proper treatment'

Incidence being:

Transient: 04 to 4 !

"ermanent: 0 to 0#!

Int ( )ndocrino& *eta+ -1-. 1: /01


4/25

The occurrence of such complications has been attributed

$: "athology requiring thyroidectomy

: %urgical techniques

&: 'eoperations

4: (eck dissection

): *+perience of the surgical team


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AIM & OBJECTIES!

The goal of this study is to ealuate the incidence and

contributing to hypocalcemia, in patients who hae

thyroidectomy-


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MATERIA"S & METHODS!

'etrospectie study of the $.) consecutie thyroidectomies

from /an 0$& 1ay 0$)-

2ork up included:

Serum calcium levels of all patients

"re op "ost op

3fter 4 hours

3fter $ week

3fter . weeks


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IDE#TI$ICATIO# O$%ARATHROIDS DURI#'THROIDECTOMRotine&!

Recrrent &ar!n%ea& nerve andparat#!roid are identied

and preserved as standardprocedre'

Bra(che) a(d (o* *he mai(*ru(+ o, i(,erior *hyroidar*ery are liga*edi(di-idually.


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'outinally all the patients undergoing thyroidectom

are obsered post operatiely for

%ymptoms and signs of hypocalcemia-

ocumented and managed-


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"e2o%rap#!

*AL)-

-

4-

5-

6-

1--

1-

14-

15-

'E#DER DISTR

1ean age 40-.05 $0-# years

1ale to female ratio was $:6-)


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C&inica& Presentation 3re$c!

Nec8 2ass

"!sp#a%ia

"!spnea

Cervica& &!2p#adenopat#!

H!pert#!roidis2 ;contro&&ed pre op<


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%ATHO"O'"isease Tota&

Pt;15tension

1/

*a&i%nanc! /2

Papi&&ar!3o&&ic&ar

Anap&astic

14 - -1

To>ic Goiter -5

Has#i2oto t#!roiditis -4

Beni%n adeno2as , fo&&ic&ar Nod&es -4


12/25

%ATHO"O'

R)TR?ST)RNAL. 1:7

*ALIGNANC@. 1-7

HASHI*?T?. 97

"I33US) G?IT)R. 47

3re$enc! 7

*NG R)TR?ST)RNAL *ALIGNANC@ HASHI*?T? "I33US) G?IT)R


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I#CIDE#CE O$H%OCA"CEMIA


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I#CIDE#CE O$ H%OCA"CEM

Tota& No ofPatients

Patients =it##!poca&ce2ia n

;7< 15 99

;-7

incidence of post throidectomy hypocalcemia

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