Hypoparathyroidism After Total Thyroidectomy

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Outcome of protracted hypoparathyroidism after total thyroidectomy.

BACKGROUND Although the variables that influence the development of post-thyroidectomy hypocalcaemia are now better understood, the risk factors and long-term outcome of persistent hypoparathyroidism (HPP) are poorly defined. A retrospective review of a prospective protocol for the management of post-thyroidectomy hypocalcaemia was performed. METHODS Patients with a serum calcium level below ...

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Hypoparathyroidism after total thyroidectomy: a prospective study.

HYPOTHESIS Combined measurement of intact parathyroid hormone (iPTH) and serum calcium (sCa) levels is useful for predicting postoperative hypocalcemia with minimal laboratory effort and low costs. DESIGN Prospective analysis of 170 consecutive patients. SETTING University hospital referral center. PATIENTS One hundred seventy patients underwent total thyroidectomy. Defining hypoparathyro...

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Hypoparathyroidism after total thyroidectomy: incidence and resolution.

BACKGROUND Parathyroid hormone (PTH) levels are often measured after thyroid surgery and are used to detect patients at risk for postoperative hypoparathyroidism. However, there is a lack of consensus in the literature about how to define the recovery of parathyroid gland function and when to classify hypoparathyroidism as permanent. The goals of this study were to determine the incidence of lo...

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Total Thyroidectomy is Associated with Increased Prevalence of Permanent Hypoparathyroidism

BACKGROUND Thyroid disorders are very common in adults. Despite advances in conservative management, surgery remains a treatment modality of choice in many cases. The mortality and morbidity of thyroidectomy are low, but long-term postoperative hypoparathyroidism (HPT) remains a prominent complication of the procedure. The aim of this study was to assess the incidence of permanent HPT and ident...

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Preventive Effect of Dexamethasone Therapy on the Transient Hypoparathyroidism through Total Thyroidectomy

Introduction: This study aimed to investigate whether pre-operative dexamethasone could ameliorate transient hypoparathyroidism outcome through total thyroidectomy.   Materials and Methods: This randomized clinical trial study was conducted on 128 patients underwent total thyroidectomy from March 2014 to April 2015. Patients were randomly assigned to two groups of experimental receiving 8 mg IV...

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 2008

ISSN: 0004-0010

DOI: 10.1001/archsurg.2007.55