Post-Thyroidectomy Hypocalcemia: Impact on Length of Stay

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Post-thyroidectomy hypocalcemia exacerbated by chyle leak

UNLABELLED Transient hypocalcemia after thyroidectomy is not uncommon and the risk increases with the extent of neck surgery. We report a case of severe and prolonged hypocalcemia after total thyroidectomy complicated by thoracic duct injury. Hypoparathyroidism and thoracic duct injury are potential complications following total thyroidectomy with extensive lymph node dissection. This case sugg...

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Which therapy to prevent post-thyroidectomy hypocalcemia?

Hypocalcemia is one of the most frequent complications after total extracapsular thyroidectomy (TET). In most of cases it is a transient phenomenon. The aim of this study is to evaluate if and how the oral administration of calcium or calcium combined with D-vitamin could effectively prevent post-thyroidectomy hypocalcemia. A randomized prospective study was performed, recruiting 120 patients w...

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[Parathyroid hormone as a predictor of post-thyroidectomy hypocalcemia].

INTRODUCTION AND OBJECTIVE The risk of developing hypocalcemia is the reason for prolonged hospitalisation after total thyroidectomy. The objective of this study was to validate parathyroid hormone measurement for predicting post-thyroidectomy hypocalcemia. MATERIAL AND METHODS Eighty-two patients who underwent total or completion thyroidectomy from February 2009 to March 2010 were enrolled i...

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Reliable Early Prediction for Different Types of Post-Thyroidectomy Hypocalcemia

OBJECTIVES High incidence of hypocalcemia after thyroidectomy is a major determinant in delay of discharge. Even though many studies have focused on the search for reliable early predictors of postoperative hypocalcemia, definitions of hypocalcemia are diverse; therefore, interpretation and application of previously reported findings may not be easy. We aimed to elucidate diverse patterns of po...

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Nomogram to aid selection of patients for short-stay thyroidectomy based on risk of postoperative hypocalcemia.

OBJECTIVE To develop statistical prediction tools to select patients for short-stay thyroidectomy based on dynamic quantification of individual risk for postoperative hypocalcemia. DESIGN Clinical and biochemical factors that could influence postoperative calcium levels were analyzed. A multivariable logistic regression model was used to study the predictive ability of each variable for hypoc...

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ژورنال

عنوان ژورنال: Ear, Nose & Throat Journal

سال: 2015

ISSN: 0145-5613,1942-7522

DOI: 10.1177/014556131509400711