PREOPERATIVE MEASURES DIMINISHING THE RISK OF POST-THYROIDECTOMY HYPOCALCEMIA (P-T H)

Post-thyroidectomy hypocalcemia (P-T H) is usually due to parathyroid gland ischemia / injury or incidental parathyroid resection. Supplementing oral calcium, vitamin D or both preoperatively (for two weeks prior to surgery) may reduce the risk of hypocalcemia following thyroidectomy performed for the management of thyroid cancer but also of Graves’ disease. Preoperative vitamin D deficiency and Graves’ disease are two risk factors for the development of P-T H.

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