Surgical audit of inadvertent parathyroidectomy during total thyroidectomy: incidence, risk factors, and outcome.
Year: 2009
Type: article
Study design: Observational Study
Abstract: In experienced hands, thyroidectomy is associated with a morbidity as low as 2%[1] if parathyroid glands and laryngeal nerves are identified and preserved. Awareness of the anatomic relationship of parathyroid gland to the thyroids is important in preventing postoperative hypocalcemia. In the literature, the incidence of temporary hypocalcemia after thyroid surgery ranges from 1.6% to 50%, and permanent hypocalcemia occurs after 1.5% to 4% of surgeries.[2–6] The etiology includes surgical trauma, devascularization, and inadvertent parathyroid excision (IPE). The aim of this study was to determine the risk factors for IPE during total thyroidectomy, the incidence of intracapsular parathyroid glands, and the serum calcium levels and hospital stay of patients with IPE.
Source: PubMed Central
Authors: J Rajinikanth, M J Paul, Deepak T Abraham, C K Ben Selvan, Aravindan Nair
Institutions: Christian Medical College, Vellore, Christian Medical College
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W32936423