POST-OPERATIVE CALCIUM LEVELS IN PATIENTS UNDERGOING THYROIDECTOMY: AN OBSERVATIONAL STUDY

Dr Ranjan Kumar, Dr Raj Ratan

Abstract


Background: Hypocalcaemia causing transient or definitive hypoparathyroidism is the most frequent complication following thyroidectomy. We
aimed to assess the pre-op and post op serum calcium levels in patients undergoing total/ near total thyroidectomy.
Method: A prospective review of retrospectively collected data was analyzed to study the post-operative hypocalcaemia in patients undergoing
total/ near total thyroidectomy.
Results: The post-operative mean corrected calcium level at 6, 12 and 24 hours after thyroidectomy was 8.37 mg/dl, 8.47 mg/dl and 8.77 mg/dl
respectively with the nadir for hypocalcaemia occurring at 24 hours post operatively. Post-operative hypocalcaemia had a female preponderance.
Conclusion: Post-operative hypocalcaemia is one of a dreaded complications of hypothyroidism. Meticulous attempts at surgery to identify
and preserve the parathyroid must be made. Early diagnosis and treatment can reduce the post-operative morbidity and mortality associated with
hypocalcaemia.


Keywords


Hypocalcaemia, Thyroidectomy

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References


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