Author(s): Sidharth Sabu Cherian
39 % (n=15) of the patients developed Hypocalcaemia postoperatively. 87% (n=11) of the patients were symptomatic and required calcium correction. 2 patients had delayed presentation of Hypocalcaemia on postoperative day five. 1 patient who underwent hemithyroidectomy developed Hypocalcaemia in the postoperative period. Trousseau's sign was the most typical clinical feature seen in hypocalcaemia patients. In the present study, no significant association of Hypocalcaemia with the female gender was noted, and we did not find any association of Hypocalcaemia with advancing age. We did not find any association between Hypocalcaemia and prolonged surgery duration or increased blood loss in the present study. In addition, we did not see any increase in the incidence of Hypocalcaemia in patients who underwent Thyroidectomy combined with lymph node clearance.
The rate of postoperative Hypocalcaemia following thyroid surgery in this study was 39%. It coincides with the incidence reported elsewhere in the world. Although the risk of Hypocalcaemia was associated with increased blood loss, prolonged surgery and extent of surgery, it was not statistically significant. If a similar study is conducted on a larger scale, including a broader spectrum of the population, important factors that influence postoperative Hypocalcaemia may be recognized.
Hypocalcemia, Thyroidectomy, carcinoma thyroid