Abstract
Background: Hypocalcemia is a common post-operative complication of Thyroidectomy. This study is aimed to evaluate and treat hypocalcemia after total thyroidectomy procedure with routine administration of oral calcium and vitamin D supplements. The aim of this study was to evaluate the clinical effectiveness of oral calcium and vitamin D administration in preventing hypocalcemia post-thyroidectomy. Subjects and Methods: This was a prospective randomized controlled study conducted on 50 patients undergoing total or near total thyroidectomy for benign or malignant disease over the period of one year from February 2017 to January 2018 at Department of General Surgery, Bhaskar Medical College, Yenkapally, Moinabad, Ranga Reddy District, Telangana, India. All the participants were randomly assigned to routinely receive or not receive oral calcium (3 g/d) and vitamin D (1 µg/d) for 2 weeks. Hypocalcemia symptoms and signs and total serum calcium levels were monitored and compared between the 2 groups. Data were presented in the form of statistical tables and charts. SPSS software version 20 was used for statistical analysis. Results: The hypocalcemic symptoms were minimal in the supplement group but more severe in the group not receiving the supplement. Serum calcium levels decreased in both groups after surgery but recovered earlier in the supplement group. Conclusion: In reducing the incidence and severity of hypocalcemia after total thyroidectomy, routine administration of supplements containing oral calcium and vitamin D has been effective.
Highlights
Vitamin D and calcium are important health-related nutrients
Pre-operative and post-operative administration of oral calcium along with vitamin D prevents post-operative transient hypocalcemia after thyroidectomy.[7]
As transient hypocalcemia is common in post-thyroidectomy patients and increases the morbidity rate, giving vitamin D and calcium can reduce the burden of post-operative transient hypocalcemia
Summary
Vitamin D helps the body to absorb calcium from foods and supplements It plays a role in helping muscles, nerves and the immune system to work properly. Routine oral calcium and vitamin D supplements have been proposed to prevent the development of symptomatic. This study is aimed to evaluate and treat hypocalcemia after total thyroidectomy procedure with routine administration of oral calcium and vitamin D supplements. The aim of this study was to evaluate the clinical effectiveness of oral calcium and vitamin D administration in preventing hypocalcemia post-thyroidectomy. Conclusion: In reducing the incidence and severity of hypocalcemia after total thyroidectomy, routine administration of supplements containing oral calcium and vitamin D has been effective
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