COMPARATIVE STUDY BETWEEN POSTOPERATIVE PARATHYROID DEFICIENCY HYPOCALCEMIA IN THOSE WITH REIMPLANTATION VERSUS THOSE WITHOUT REIMPLANTATION

Abstract

Hypocalcemia is a common consequence of parathyroidectomy. We aim to study the causality between hypocalcemia and parathyroid surgery. We selected 110 patients, registered in the records of the Endocrinology Clinic, investigated and diagnosed with primary, secondary or tertiary hyperparathyroidism and subsequently operated between 2014-2022 in the IVth Surgery Clinic of the “Saint Spiridon Hospital” from Iași, which we included in this comparative study. The collected data was entered into a database and statistically analyzed. The selected group was divided into two categories, as follows: 84 patients (78%) without reimplantation, and 26 patients (22%) with reimplantation. Regarding the values of post-operative calcium levels in those not reimplanted versus those reimplanted, the following average values were found: 9.52 (value range 5.60 mg/dl-16.10 mg/dl) in those not reimplanted vs. 9.18 (value range 6.17 mg/dl – 12.86 mg/dl) in those reimplanted. In addition to serum calcium values, other parameters with significance in parathyroid pathology were monitored, as follows: PT, Mg, P and PTH. The documented values of postoperative calcemia in the two major categories were close, the reimplanted category registering slightly lower values.

Keywords

• parathyroid glands
• reimplantation
• calcemia
• hypocalcemia
• surgery