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العنوان
Hypocalcemia following total thyroidectomy for benign goitre in head, neck, endocrine surgery at alexandria main university hospital/
المؤلف
Aden, Abdullahi Haji.
هيئة الاعداد
مشرف / عبد الله حاجى أدين
مشرف / أيمن سامح نبوى
مشرف / طارق يوسف قريطم
مشرف / محمد عبد القادر
الموضوع
Surgery. Endocrinology.
تاريخ النشر
2021.
عدد الصفحات
44 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
22/8/2021
مكان الإجازة
جامعة الاسكندريه - كلية الطب - غدد
الفهرس
Only 14 pages are availabe for public view

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from 56

Abstract

Total thyroidectomy constitutes the treatment modality for thyroid disorders like multinodular goitre and also for Thyroid malignancies. One of the common early complications expected following total thyroidectomy is hypocalcemia. Accidental removal of parathyroid gland or damage to its blood supply during surgery is an important cause for hypocalcemia following total thyroidectomy.
In the present study, Demographic data; preoperative serum T3 hormone, T4 hormone, thyroid-stimulating hormone (TSH), anti-thyroid peroxidase antibody (anti-TPO), and Anti thyroglobulin, thyroid antibodies; diagnoses; surgical notes; histopathology reports; and postoperative 24-hour, 48-hour serum calcium levels were recorded and evaluated retrospectively.
In our study, the incidence of hypocalcemia was 15.9 % after 24 hours and 20.3 % after 48 hours.
Regarding Type of complication, there was a statistically significant difference between Hypocalcemia and normal (p<0.001*). After 24 h Hypocalcemia showed 28.0 % Circum oral tingling and 16.0 % Carpopedal spasms while after 48 h hypo showed 25.0.
Incidences of hypocalcaemia was associated with 50.7 % were males and females was 79.7%.
In the present study, regarding gender and age, there was a non-statistically significant difference between Hypocalcemia and normal.