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Hypocalcemia: What a Surgeon should know

Anish Kolly,, Vijaya Sarathi,, Sapana Bothra,, Aromal Chekavar,

Citation Information : Kolly, A, Sarathi, V, Bothra, S, Chekavar, A. Hypocalcemia: What a Surgeon should know. World J Endoc Surg 2017; 9 (2):72-77.

DOI: 10.5005/jp-journals-10002-1215

License: CC BY 3.0

Published Online: 01-04-2010

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

How to cite this article

Kolly A, Sarathi V, Bothra S, Chekavar A, Sabaretnam M, Agarwal A. Hypocalcemia: What a Surgeon should know. World J Endoc Surg 2017;9(2):72-77.


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  1. Hypocalcemia after thyroidectomy. Arch Surg 1992 Jul;127(7):854-858.
  2. Parathyroid preservation during thyroid surgery. Am J Otolaryngol 1998 Mar-Apr;19(2):113-117.
  3. Therapeutic controversy: thyroid surgery–the choice. J Clin Endocrinol Metab 1998 Apr;83(4):1097-1105.
  4. Predictors of hypocalcemia after thyroidectomy: results from the Nationwide Inpatient Sample. ISRN Surg 2012 Jul;2012:838614.
  5. Post-operative hypocalcemia-The difference a definition makes. Head Neck 2010 Mar;32(3):279-283.
  6. The British Association of Endocrine and Thyroid Surgeons. Fourth National Audit. Henley-on-Thames: Dendrite Clinical Systems Ltd; 2012.
  7. The impact of surgical technique on post-operative hypoparathyroidism in bilateral thyroid surgery: a multivariate analysis of 5846 consecutive patients. Surgery 2003 Feb;133(2):180-185.
  8. Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbecks Arch Surg 2008 Sep;393(5):667-673.
  9. Systematic review and meta-analysis of predictors of post-thyroidectomy hypocalcaemia. Br J Surg 2014 Mar;101(4):307-320.
  10. Postsurgical hypoparathyroidism: a systematic review. In Vivo 2016 May-Jun;30(3):171-179.
  11. Hungry bone syndrome: still a challenge in the post-operative management of primary hyperparathyroidism: a systematic review of the literature. Eur J Endocrinol 2013 Feb;168(3):R45-R53.
  12. Thyrotoxicosis and hungry bone syndrome—a cause of posttreatment hypocalcemia. Clin Biochem 1994 Feb;27(1):69-74.
  13. Mechanisms behind post-thyroidectomy hypocalcemia: interplay of calcitonin, parathormone, and albumin—a prospective study. J Invest Surg 2017 Aug;30(4):217-225.
  14. Transient Hypocalcemia after thyroidectomy. Ann Otol Rhinol Laryngol 1993 Jul;102(7):496-501.
  15. Complications and risk factors related to the extent of surgery in thyroidectomy. Results from 2,043 procedures. Hormones (Athens) 2010 Oct-Dec;9(4):318-325.
  16. The advantage of near-total thyroidectomy to avoid post-operative hypoparathyroidism in benign multinodulargoiter. Langenbecks Arch Surg 2006 Nov;391(6):567-573.
  17. Systematic review and meta-analysis of the adverse effects of thyroidectomy combined with central neck dissection as compared with thyroidectomy alone. Laryngoscope 2009 Jun;119(6):1135-1139.
  18. Hypocalcaemia following total thyroidectomy: An analysis of 806 patients. Indian J Endocr Metab 2013 Mar;17(2):298-303.
  19. The mechanism of hypocalcemia following thyroidectomy. Acta Endocrinol (Copenh) 1985 Jun;109(2):220-226.
  20. Hypocalcemia following thyroidectomy for thyrotoxicosis. Br J Surg 1997 Jan;84(1):95-97.
  21. Predictive risk factors for post-operative tetany in female patients with Graves’ disease. J Am Coll Surg 2001 Apr;192(4):465-468.
  22. Post-operative hypocalcemia after thyroidectomy for Graves' disease. Thyroid 2010 Nov;20(11):1279-1283.
  23. Post-thyroidectomy hypocalcemia. Incidence and risk factors. Am J Surg 1986 Dec;152(6):606-610.
  24. Total thyroidectomy: is morbidity higher for Graves’ disease than nontoxic goiter? J Surg Res 2011 Sep;170(1):96-99.
  25. Thyroidectomy for Hashimoto’s thyroiditis: Complications and associated cancers. Thyroid 2008 Jul;18(7):729-734.
  26. Bilateral truncal ligation of the inferior thyroid artery during bilateral subtotal thyroidectomy causes a decrease in parathormone without clinically manifest hypoparathyroidism: a randomized clinical trial. Eur Surg Res 2015 Oct;55(3):141-150.
  27. The importance of surgeon experience for clinical and economic outcomes from thyroidectomy. Ann Surg 1998 Sep;228(3):320-330.
  28. The history of the parathyroid surgery. Rev Col Bras Cir 2016 May-Jun;43(3):214-222.
  29. Is sutureless thyroid surgery safe in the hands of surgical trainees. A single centre retrospective study. BMC Res Notes 2016 Feb;9:118.
  30. Post-operative hypocalcemia: assessment timing. Int J Surg 2014 May;12(Suppl 1):S95-S97.
  31. Postresection parathyroid hormone and parathyroid hormone decline accurately predict hypocalcemia after thyroidectomy. Am J Clin Pathol 2007 Apr;127(4):592-597.
  32. The role of intraoperative rapid parathyroid hormone monitoring for predicting thyroidectomy-related hypocalcemia. Arch Otolaryngol Head Neck Surg 2004 Jan;130(1):63-67.
  33. The use of rapid parathyroid hormone assay in predicting post-operative hypocalcemia after total or completion thyroidectomy. Thyroid 2006 Mar;16(3):259-265.
  34. Parathyroid hormone levels 4 hours after surgery do not accurately predict post-thyroidectomy hypocalcemia. Surgery 2006 Dec;140(6):1016-123, discussion 1023-1025.
  35. Early prediction of hypocalcemia after thyroidectomy using parathyroid hormone: an analysis of pooled individual patient data from nine observational studies. J Am Coll Surg 2007 Dec;205(6):748-754.
  36. The utility of serum PTH assessment 24 hours after total thyroidectomy. Otolaryngol Head Neck Surg 2005 Apr;132(4):584-586.
  37. Hypocalcaemia after total thyroidectomy: could intact parathyroid hormone be a predictive factor for transient post-operative hypocalcemia? Surgery 2015 Feb;157(2):344-348.
  38. Early prediction of hypocalcemia after thyroidectomy by parathormone measurement in surgical site irrigation fluid. Int J Surg 2009 Oct;7(5):466-471.
  39. Predictive value of age and serum parathormone and vitamin d3 levels for post-operative hypocalcemia after total thyroidectomy for nontoxic multinodulargoiter. Arch Surg 2007 Dec;142(12):1182-1187.
  40. Identification of patients at high risk for hypocalcemia after total thyroidectomy. Acta Otorhinolaryngol 2011 Jun;31(3):144-148.
  41. Early prediction of normocalcemia after thyroid surgery. World J Surg 2005 Oct;29(10):1288-1293.
  42. American association of clinical endocrinologists and American College of Endocrinology disease state clinical review: post-operative hypoparathyroidism–definitions and management. Endocr Pract 2015 Jun;21(6):674-685.
  43. Expert consensus statement on parathyroid protection in thyroidectomy. Ann Transl Med 2015 Sep;3(16):230.
  44. Application of carbon nanoparticles in lymph node dissection and parathyroid protection during thyroid cancer surgeries: a systematic review and meta-analysis. Onco Targets Ther 2017 Feb;10:1247-1260.
  45. The Parathyroid Glandules. Their blood supply and their preservation in operation upon the thyroid gland. Ann Surg 1907 Oct;46(4):489-506.
  46. Complications in thyroid surgery. Harmonic Scalpel, Harmonic Focus versus Conventional Hemostasis: a meta-analysis. Int J Surg 2016 Apr;28(Suppl 1):S22-S32.
  47. A meta-analysis comparing the outcomes of LigaSure Small Jaw versus clamp-and-tie technique or Harmonic Focus Scalpel in thyroidectomy. Medicine (Baltimore) 2017 Mar;96(11):e6141.
  48. PTH(1-34) for the primary prevention of postthyroidectomy hypocalcemia: the THYPOS trial. J Clin Endocrinol Metab 2016 Nov;101(11):4039-4045.
  49. Short-term PTH(1-34) therapy in children to correct severe hypocalcemia and hyperphosphatemia due to hypoparathyroidism: two case studies. Case Rep Endocrinol 2016 Oct;2016:6838626.
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