HYPOCALCEMIA IN TOTAL VERSUS SUBTOTAL THYROIDECTOMY

Authors

  • Tahira Sajid Ayub Medical College, Abbottabad Pakistan
  • Syeda Rifaat Qamar Naqvi Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Zara Sajid Ayub Medical College, Abbottabad Pakistan
  • Fatima Sajid Ayub Medical College, Abbottabad Pakistan
  • Ismail Akbar Ayub Medical College, Abbottabad Pakistan
  • Muhammad Ayub Ashraf Mallhi Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71iSuppl-3.7228

Keywords:

Hypocalcemia, Total Thyroidectomy, Subtotal Thyroidectomy

Abstract

Objective: To compare the occurrence of hypocalcemia in patients undergoing subtotal and total thyroidectomy.

Study Design: Comparative prospective study.

Place and Duration of Study: Surgical departments of Ayub Teaching Hospital, Abbottabad and Combined Military Hospital, Rawalpindi, from Mar 2018 to Feb 2020.

Methodology: A total of 171 patients were selected for this study and they were divided into 2 groups. Group 1 consisted of 95 patients undergoing Total thyroidectomy whereas group 2 had 76 patients undergoing Subtotal thyroidectomy. It was a comparative prospective study and the groups were made by convenience sampling. The data was analyzed by SPSS-23.

Results: In total thyroidectomy group Hypocalcemia was detected after 48 hours in 34 patients (35%) while in subtotal thyroidectomy group hypocalcemia was detected in 20 patients (28%). Tests for hypocalcemia were also done after two months of surgery and low levels were detected in 7 patients (7.5%) who had total thyroidectomy and in 2 patients (5%) in the group undergoing subtotal thyroidectomy. There was no significant difference in hypocalcemia after 48 hour (p=0.22) and 2 months postoperatively (p=0.6) between patients of Total Thyroidectomy and Subtotal Thyroidectomy.

Conclusion: Total thyroidectomy is not associated with increased risk of permanent hypocalcemia as compared to Subtotal thyroidectomy. Because of its advantages Total thyroidectomy should be the preferred surgical procedure for patients presenting with benign euthyroid multi nodular goiter.

Downloads

Download data is not yet available.

Downloads

Published

31-12-2021

Issue

Section

Original Articles

How to Cite

1.
Sajid T, Naqvi SRQ, Sajid Z, Sajid F, Akbar I, Mallhi MAA. HYPOCALCEMIA IN TOTAL VERSUS SUBTOTAL THYROIDECTOMY. Pak Armed Forces Med J [Internet]. 2021 Dec. 31 [cited 2024 Jul. 19];71(Suppl-3):630-33. Available from: https://pafmj.org/PAFMJ/article/view/7228