RATE OF OCCURRENCE OF POST-SURGICAL HYPOCALCAEMIA AMONG PATIENTS WHO UNDERWENT TOTAL THYROIDECTOMY

Objective: All the patients who underwent total thyroidectomy are present with high risk for post-surgical hypocalcaemia, which can cause a significant morbidity for short as well as long terms. This research work aimed to find out the rate of occurrence of post-surgical hypocalcaemia in the patients who underwent total thyroidectomy. Methodology: A sum of eight hundred and fifty-four patients who had to undergo total thyroidectomy from 2012 to 2019 at Surgical Department of Aziz Bhatti Shaheed Teaching Hospital Gujrat, were the participants of this research work. The collection of the information carried out for the characteristics of demography, diagnosis before surgical intervention, levels of calcium after surgery, extent of operation and final pathology after surgery. Results: A sum of eight hundred and fifty-four patients underwent total thyroidectomy. Among total patients, 748 (87.58%) patients were malignant and 106 (12.41%) patients were benign. In both types of patients, 404 (47.30%) patients underwent total thyroidectomy and 450 (52.69%) patients had to undergo completion thyroidectomy. Overall rate of occurrence of transient hypocalcaemia was 7.0% (n: 60) and rate of occurrence of permanent hypocalcaemia was 0.110% (n: 1). Conclusion: Hypocalcaemia is matter of serious concern after the total thyroidectomy. Scrupulous techniques of surgery, detection and protection of vascularity of parathyroid glands are important in the prevention of hypocalcaemia after surgical intervention of total thyroidectomy. KEYWORDS: Pathology, Hungry Bone Syndrome, Hypocalcemia, Scrupulous, Intervention, Demography