COMPARISON OF POST-OPERATIVE ASYMPTOMATIC HYPOCALCEMIA BETWEEN TOTAL THYROIDECTOMY AND SUBTOTAL THYROIDECTOMY

Objective: To compare the frequency of post-operative asymptomatic hypocalcaemia in patients with multinodular goiter undergoing total versus subtotal thyroidectomy.

Material and methods: This randomized controlled trial was conducted at Department of Surgery Shahida Islam Medical College, Lodhran from January 2018 to June 2018 over the period of 6 months.  Total 348 patients who have undergone total or subtotal thyroidectomy having age 14-50 years either male or female were selected.

Results: Mean age of the patients of Group A was  30.94 ± 9.6 years and Group B was 31.59 ± 11.03.  Asymptomatic hypocalcaemia was found in 62 (35.63%) patients of Group A and 30 (17.245%) patients of Group B.  Significant difference was observed in both groups statistically. P. value 0.00.

Conclusion: Frequency of asymptomatic hypocalcaemia was significantly higher after total thyroidectomy as compare to sub-total thyroidectomy.  Male or female can be equally victim of asymptomatic hypocalcaemia after total or subtotal thyroidectomy.  There is an equal chance of development of asymptomatic hypocalcaemia in younger and older age groups after total or subtotal thyroidectomy.

Key Words: MNG, FNAC, HPE, thyroid isotope scan, thyrotoxicosis, subtotal thyroidectomy, total thyroidectomyDr. Fawad Hameed, Dr. Fariha Niaz, Dr. Ali Gohar Khan