[Hypoparathyroidism following total thyroidectomy: prognostic value of intraoperative parathyroid hormone assay].
Transient and definitive hypoparathyroidism represent a frequent complication after thyroid surgery. Recently some authors proposed the use of intraoperative parathyroid hormone assay for the rapid detection of this complication. In this paper the authors describe the data obtained from 42 total thyroidectomies with intraoperative measurements of parathyroid hormone. When parathormone decrement was over 75% during thyroidectomy, the hypocalcemic symptomatology was found in all cases during postoperative observation. The authors emphasize intraoperative PTH dosage for immediate identification of patients at risk for postoperative hypoparathyroidism. In this cases parathyroid autotransplantation is suggested to prevent postoperative hypoparathyroidism.
Università degli Studi di Brescia, Divisione di 1a Chirurgia Generale, Spedali Civili.
C
C
Casella
C
C
Talarico
F
F
Di Fabio
G
G
Bugari
C
C
Iacobello
A
A
Albertini
B
B
Salerni
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology / Q000517:prevention & control; D007011:Hypoparathyroidism / Q000097:blood / Q000209:etiology* / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010280:Parathyroid Glands / Q000637:transplantation; D010281:Parathyroid Hormone / Q000008:administration & dosage / Q000097:blood*; D011237:Predictive Value of Tests; D011379:Prognosis; D013965:Thyroidectomy / Q000009:adverse effects* / Q000379:methods; D014182:Transplantation, Autologous
D010281:Parathyroid Hormone