[Hypoparathyroidism following total thyroidectomy: prognostic value of intraoperative parathyroid hormone assay].

Annali italiani di chirurgia

PubMedID: 15283383

Casella C, Talarico C, Di Fabio F, Bugari G, Iacobello C, Albertini A, Salerni B. [Hypoparathyroidism following total thyroidectomy: prognostic value of intraoperative parathyroid hormone assay]. Ann Ital Chir. 2004;75(1):23-7.
Transient and definitive hypoparathyroidism represent a frequent complication after thyroid surgery. Recently some authors proposed the use of intraoperative parathyroid hormone assay for the rapid detection of this complication. In this paper the authors describe the data obtained from 42 total thyroidectomies with intraoperative measurements of parathyroid hormone. When parathormone decrement was over 75% during thyroidectomy, the hypocalcemic symptomatology was found in all cases during postoperative observation. The authors emphasize intraoperative PTH dosage for immediate identification of patients at risk for postoperative hypoparathyroidism. In this cases parathyroid autotransplantation is suggested to prevent postoperative hypoparathyroidism.