HYPOCALCAEMIA AND HYPOMAGNESAEMIA AFTER DIFFERENT TYPES OF THYROIDECTOMY
MOHAMEDFAROUKALY;
Abstract
Postoperative hypocalcaemia is one of the important complications after thyroidectomy. It is observed within 2-5 days postoperatively, and its incidence is more common after tot[!! thyroidectomy than after conservative thyroidectomies. When hypocalcaemia is associated with hypomagnesaemia, this may render the symptoms more resistant to treatment. This requires correction of both ions.
This study was conducted in a prospective manner to detect the incidence of hypocalcaemia as well as hypomagnesaemia after different types of thyroidectomy. The patients were grouped into 3 groups, according to the operation performed, where calcium and magnesium were measured daily for five days after the operation.
In our study, the incidence of hypocalcaemia after total thyroidectomy is much higher than after unilateral total lobectomy with contralateral subtotal lobectomy, and it did not occur after hemithyroidectomy.
The incidence of permenant hypocalcaemia is found to be the same after both total thyroidectomy and unilateral total lobectomy with contralateral subtotal lobectomy. Also the incidence ofhypomagnesaemia was the same.
The meticulous dissection and preservation of parathyroid glands and their intact blood supply decrease the incidence of postoperative hypocalcaemia.
The correctrion of hypomagnesaemia coexisting with hypo
calcaemia aids the improvement of symptoms.
This study was conducted in a prospective manner to detect the incidence of hypocalcaemia as well as hypomagnesaemia after different types of thyroidectomy. The patients were grouped into 3 groups, according to the operation performed, where calcium and magnesium were measured daily for five days after the operation.
In our study, the incidence of hypocalcaemia after total thyroidectomy is much higher than after unilateral total lobectomy with contralateral subtotal lobectomy, and it did not occur after hemithyroidectomy.
The incidence of permenant hypocalcaemia is found to be the same after both total thyroidectomy and unilateral total lobectomy with contralateral subtotal lobectomy. Also the incidence ofhypomagnesaemia was the same.
The meticulous dissection and preservation of parathyroid glands and their intact blood supply decrease the incidence of postoperative hypocalcaemia.
The correctrion of hypomagnesaemia coexisting with hypo
calcaemia aids the improvement of symptoms.
Other data
| Title | HYPOCALCAEMIA AND HYPOMAGNESAEMIA AFTER DIFFERENT TYPES OF THYROIDECTOMY | Other Titles | نسبة حدوث نقص فى الكالسيوم والماجنسيوم بعد مختلف جراحات الغدة الدرقية | Authors | MOHAMEDFAROUKALY | Issue Date | 2002 |
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