ssk_logo.png

The Annals of African Surgery is the official publication of the Surgical Society of Kenya.

 

All content copyright © 2020 Annals of African Surgery.

ISSN (print): 1999-9674; ISSN (online): 2523-0816

Main Office Location: Menelik Medical Centre, Menelik Road, off Ngong Road, Nairobi. First floor.

Telephone: +254715260499

Email: info@annalsofafricansurgery.com.

 

The content on this site is intended for health professionals. Advertisements on this site do not constitute a guarantee or endorsement by the journal, Association, or publisher of the quality or value of such product or of the claims made for it by its manufacturer.

70.png
69.jpg
hinari_header_en.png

Post-operative Transient Hypoparathyroidism:hypocalcaemiasecondarytoPOHPresultsinprolonged Incidence and Risk Factors

 

Jennifer Downs1, Kerry Wilson2, Felix Made2, Francois Malherbe1, Eugenio Panieri1, Lydia Cairncross1

  1. Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.

  2. National Institute of Occupational Health, Johannesburg, South Africa

Correspondence to: Jennifer Downs, Email: jennifer.downs@alumnus.uct.ac.za

Abstract

Background: There is limited data on the incidence and risk factors for developing postoperative hypoparathyroidism (POHP) in the South African setting. Objectives: This study aims to calculate the incidence of postoperative hypoparathyroidism in a South African tertiary setting, and to compare local risk factors for POHP to international published data. Methods: All patients who underwent a total or completion thyroidectomy at an academic referral center from January 2010 to December 2015 were included. Data reviewed included post-operative parathyroid hormone (iPTH) level, demographics, type of operation and lymphadenectomy, size of thyroid glands resected, final histology, extra capsular extension of carcinomas, number of lymph nodes resected, and the number of parathyroid excised. Results: Postoperatively, 29% of patients were diagnosed with hypoparathyroidism. Overall, there was no association between POHP and age or gender. In patients with benign histology, size was significantly associated with higher rates of POHP. In patients with thyroid carcinoma, lymphadenectomy and the number of lymph nodes resected were associated with higher rates of POHP. Conclusion: The incidence of immediate postoperative hypoparathyroidism is within international standards. Standardized postoperative follow up is necessary, and strategies to improve POPH such as auto transplantation in locally identified high-risk subgroups should be considered.

 

Key words: Postthyroidectomy, Hypocalcaemia, Hypoparathyroidism

Ann Afr Surg. 2017; 14(2):76-81 DOI:http://dx.doi.org/10.4314/aas.v14i2.5

© 2017 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

  • Twitter
  • Facebook Social Icon
  • LinkedIn