Paliogiannis, Panagiotis and Pisano, Ilia Patrizia and Pala, Carlo and Delogu, Daniele and Corona, Paolo and Gabbas, Giuseppina and Sotgiu, Giovanni and Trignano, Mario (2014) Occult thyroiditis as a risk factor for postoperative hypocalcemia in thyroid surgery. Acta Medica Mediterranea, Vol. 30 , p. 473-476. ISSN 0393-6384. Article.
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Introduction: Postoperative hypocalcemia is the most incident complication in thyroid surgery. The aim of this study was to evaluate the role of occult thyroiditis as a risk factor for postoperative hypocalcaemia in patients submitted to total thyroidectomy.
Materials and methods: The study was conduced over 118 patients who underwent total thyroidectomy for thyroid disease other than thyroiditis. The patients were divided in two groups; those without thyroiditis (group A, 65 patients) and those with occult thyroiditis discovered after histopathological examination of the specimen (group B, 53 patients).
Results: The mean value of calcaemia in the first postoperative day was 8.1 mg/dL in group A and 8.2 mg/dL in group B. Biochemical hypocalcaemia was detected in 25 patients in group A and 20 in group B. Differences between groups A and B were not statistically significant.
Conclusions: Our data suggest that occult thyroiditis does not influence the incidence of postoperative hypocalcaemia in patients who underwent total thyroidectomy. Further prospective randomized studies are necessary to confirm these findings.
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