Hypoparathyroidism after total thyrodectomy

M. Testini, A. Gurrado, G. Lissidini, M. Nacchiero

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

The aim of the study is to describe the last advances (2000-2007) in the management of hypoparathyroidism secondary to total thyroidectomles. This systematic review was conducted according to recently presented guidelines on the argument. A comprehensive literature search was performed in August 2007 consulting PubMed MEDLINE for publications, matching the terms of hypoparathyroidism/ hypocalcaemia AND parathyroid glands, total thyroidectomy, thyroid surgery, postoperative complications, and risk factors. Hypoparathyroidism remains a frequent and challenging complication following total thyroidectomy. A meticolous surgical technique with an excellent anatomical knowledge of the neck compartment are mandatory to restrain its appearance. The application of loupe magnification and of parathyroid glands autotransplantation (PTAT) during thyroid surgery contribute to preventing definitive hypoparathyroidism and also to decrease the postoperative incidence of transient hypocalcaemia. Consequently, the reduction of complications rate determines the decrease of the hospitalization length, costs, and patient discomfort due to a fear of clinical manifestations, and facilitates the return to work. The microsurgical approach and the PTAT are effective and easily learnable procedures, also adoptable in less favoured areas without additional cost. We believe that these performances represent a real aid in association with an operative strategy aiming always to the preservation of parathyroid glands in situ.

Original languageEnglish
Pages (from-to)409-415
Number of pages7
JournalMinerva Chirurgica
Volume62
Issue number5
Publication statusPublished - Oct 2007

Fingerprint

Hypoparathyroidism
Parathyroid Glands
Hypocalcemia
Thyroidectomy
Thyroid Gland
Costs and Cost Analysis
Return to Work
Autologous Transplantation
PubMed
MEDLINE
Fear
Publications
Hospitalization
Neck
Guidelines
Incidence

Keywords

  • Hypoparathyroidism - Hypocalcemia - Parathyroid glands - Thyroidectomy - Thyroideal diseases
  • Surgery - Postoperative complications - Risk factors

ASJC Scopus subject areas

  • Surgery

Cite this

Testini, M., Gurrado, A., Lissidini, G., & Nacchiero, M. (2007). Hypoparathyroidism after total thyrodectomy. Minerva Chirurgica, 62(5), 409-415.

Hypoparathyroidism after total thyrodectomy. / Testini, M.; Gurrado, A.; Lissidini, G.; Nacchiero, M.

In: Minerva Chirurgica, Vol. 62, No. 5, 10.2007, p. 409-415.

Research output: Contribution to journalArticle

Testini, M, Gurrado, A, Lissidini, G & Nacchiero, M 2007, 'Hypoparathyroidism after total thyrodectomy', Minerva Chirurgica, vol. 62, no. 5, pp. 409-415.
Testini M, Gurrado A, Lissidini G, Nacchiero M. Hypoparathyroidism after total thyrodectomy. Minerva Chirurgica. 2007 Oct;62(5):409-415.
Testini, M. ; Gurrado, A. ; Lissidini, G. ; Nacchiero, M. / Hypoparathyroidism after total thyrodectomy. In: Minerva Chirurgica. 2007 ; Vol. 62, No. 5. pp. 409-415.
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