@entity3747 and XXXX after total thyroidectomy: a clinical biological study and surgical considerations.

@entity3747 @entity1 @entity1376 @entity8611 @entity261 @entity460 @entity560
BACKGROUND: Post-operative @entity3747 is a common and most often transient event afterextensive thyroid surgery. It may be due to iatrogenic @entity8611 . AIMS: We carried out a study aimed to evaluate the incidence of @entity3747 and @entity261 following extracapsular total thyroidectomy. METHODS: The study was carried out in 312 @entity1 (273 females and 39 males, whose age was between 23 and 76 years, median age 48.61 +/- 14.1) who had undergone total thyroidectomy (TT) in our department from 1995 to 1998 and in 100 @entity1 (72 females and 28 males, whose age was between 24 and 75 years, median age 51.66 +/- 13.4) who had undergone other (non-thyroid) surgery. RESULTS: Post-operative @entity3747 was observed in 62 @entity1 of the control group (62%) and the decrease of the serum @entity460 level lasted about 3 days, and went back to normal within the 5th day. In 2 @entity1 undergoing total thyroidectomy, @entity3747 was considered severe (confirmed for more than 7 days, symptomatic), these had been operated for large @entity1376 with mediastinal extension. In these @entity1 the symptoms arose acutely about 5 h after the operation. In both cases the clinical and biological aspects went back to normal within 10 days, after a treatment with @entity460 and @entity560 . Transient asymptomatic @entity3747 was observed in 234 thyroidectomized @entity1 (75%) and thus did not need any treatment for it. CONCLUSION: The results obtained confirm that transient @entity3747 can be observed after any operation; and particularly responsible is the decrease of the @entity460 concerning the proteins. We found that post-operative @entity261 is due to @entity8611 (parathyroid ischaemia or surgical ablation of one or more glands). Here we see the delayed serum @entity460 level < or = 7.5 mg/dl or the delayed serum phosphorous level > 7.4 mg/dl. The results of our study, with 2 @entity1 presenting transient post-operative @entity261 , contribute in confirming that the extracapsular total thyroidectomy aimed to reduce any @entity8611 and to the recurrent nerves, represent the better operation also for the extended benignant thyroidopathies.
