Role of pre and post-operative oral calcium and vitamin D supplements in prevention of hypocalcemia after total thyroidectomy

G Chir. 2012 Nov-Dec;33(11-12):374-8.

Abstract

Aim: to evaluate the role of pre and post-operative oral calcium and vitamin D supplements in prevention of hypocalcemia after total thyroidectomy.

Patients and methods: 50 consecutive patients, undergoing total thyroidectomy, were enrolled. Oral calcium and vitamin D were administered in the pre and post-operative time. The data concerning symptomatic and laboratoristic hypocalcemia were collected.

Results: Incidence of symptomatic hypocalcemia was very low (6%); incidence of laboratoristic hypocalcemia was 10%. No permanent hypocalcemia developed.

Conclusions: Implementing oral calcium and vitamin D both before and after total thyroidectomy can reduce the incidence of hypocalcemia related to surgery.

MeSH terms

  • Administration, Oral
  • Adult
  • Bone Density Conservation Agents / administration & dosage*
  • Calcium / administration & dosage*
  • Female
  • Humans
  • Hypocalcemia / epidemiology
  • Hypocalcemia / etiology*
  • Hypocalcemia / prevention & control*
  • Incidence
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Postoperative Period
  • Preoperative Period
  • Thyroidectomy / adverse effects*
  • Thyroidectomy / methods
  • Treatment Outcome
  • Vitamin D / administration & dosage*

Substances

  • Bone Density Conservation Agents
  • Vitamin D
  • Calcium