Incidence of Post-Operative Hypocalcaemia Post Total Thyroidectomy in the Early Learning Curve of Junior Surgeons
Khaled Nabil Mahmoud Saad;
Abstract
ABSTRACT
Background: Hypocalcemia is the most common complication after total thyroidectomy. Although the reported frequency is probably low because the usual practice of administering calcium supplements to all patients to allow for early discharge may mask the real frequency of hypocalcaemia in real practice. In addition, this practice means that a high percentage of patients take unnecessary calcium prescriptions, which are impractical and could in some cases, increase the incidence of other complications like the risk of constipation, promote the development of calcium kidney stones, and inhibit iron and zinc absorption from oral intake. Clinically significant hypocalcaemia is a common complication after bilateral thyroid resection. Clinically significant hypocalcaemia is a common concern after bilateral thyroid resection. Usually, close monitoring of serum calcium levels has been used to monitor postoperative hypocalcaemia. However, because the development of postoperative hypocalcaemia can be presented late as 24 hours to several days after surgery, many surgeons have suggested prolonged hospitalization to monitor serum calcium levels, in order to prevent potential readmission for symptomatic hypocalcaemia. However, this requires calcium monitoring at least until the morning after thyroidectomy, against same-day discharge. This approach was considered not to be cost-effective. Thus, same-day surgery 24-hour observation after thyroidectomy has been suggested as a means of cost reduction for thyroidectomy and proper follow up.
Background: Hypocalcemia is the most common complication after total thyroidectomy. Although the reported frequency is probably low because the usual practice of administering calcium supplements to all patients to allow for early discharge may mask the real frequency of hypocalcaemia in real practice. In addition, this practice means that a high percentage of patients take unnecessary calcium prescriptions, which are impractical and could in some cases, increase the incidence of other complications like the risk of constipation, promote the development of calcium kidney stones, and inhibit iron and zinc absorption from oral intake. Clinically significant hypocalcaemia is a common complication after bilateral thyroid resection. Clinically significant hypocalcaemia is a common concern after bilateral thyroid resection. Usually, close monitoring of serum calcium levels has been used to monitor postoperative hypocalcaemia. However, because the development of postoperative hypocalcaemia can be presented late as 24 hours to several days after surgery, many surgeons have suggested prolonged hospitalization to monitor serum calcium levels, in order to prevent potential readmission for symptomatic hypocalcaemia. However, this requires calcium monitoring at least until the morning after thyroidectomy, against same-day discharge. This approach was considered not to be cost-effective. Thus, same-day surgery 24-hour observation after thyroidectomy has been suggested as a means of cost reduction for thyroidectomy and proper follow up.
Other data
| Title | Incidence of Post-Operative Hypocalcaemia Post Total Thyroidectomy in the Early Learning Curve of Junior Surgeons | Other Titles | نسبه حدوث نقص الكالسيوم في الدم بعد عمليات الاستئصال الكلي للغده الدرقيه التي أجريت بواسطة الأطباء تحت التدريب | Authors | Khaled Nabil Mahmoud Saad | Issue Date | 2019 |
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