The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy
Yıl: 2023 Cilt: 39 Sayı: 1 Sayfa Aralığı: 70 - 75 Metin Dili: İngilizce DOI: 10.47717/turkjsurg.2023.5886 İndeks Tarihi: 03-06-2023
The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy
Öz: Objective: Thyroid gland surgery and its surgical complications are situations that a surgeon frequently encounters in his daily practice. In our study, it was aimed to examine the effect of different treatment methods given to patients who underwent thyroidectomy on hypocalcemia. Material and Methods: Three hundred and seventy-one patients who underwent thyroidectomy at Ondokuz Mayıs University Medical Faculty General Surgery clinic between December 2016 and January 2021 were retrospectively included in the study. Parameters such as surgery indications, fine needle aspiration biopsy results, preoperative serum calcium values, type of surgery, serum calcium values at postoperative 1st day and 1st month, postoperative hospital stay, drugs prescribed at discharge, histopathological diagnosis of the patient, and whether there was incidental parathyroidectomy or not were included. Results: Mean age of 371 patients who underwent thyroidectomy was 49 (19-82) years. Total thyroidectomy was the most common type of thyroidectomy with 61% (n= 225) of the patients. There was a significant decrease in pre-op and post-op calcium values in all three types of surgery performed on the patients, and there was no significant difference between the different types of surgery. Post-operative day one and month one serum calcium values were significantly increased in all groups (p= .000). The increase in post-op serum calcium level was most common in the group using calcium carbonate + cholecalciferol + calcitriol. Conclusion: The use of post-op calcitriol in patients undergoing thyroidectomy seems to be quite effective in preventing the development of hypocalcemia.
Anahtar Kelime: Tiroidektomi olan hastalarda farklı terapötik tedavilerin postoperatif hipokalsemi sıklığına etkisi
Öz: Giriş ve Amaç: Tiroid bezi cerrahisi ve cerrahi komplikasyonları cerrahın günlük pratiğinde sıklıkla karşılaştığı durumlardır. Çalışmamızda tiroidektomi yapılan hastalara verilen farklı tedavi yöntemlerinin hipokalsemiye etkisinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmaya Aralık 2016- Ocak 2021 yılları arasında Ondokuz Mayıs Üniversitesi Tıp Fakültesi Genel Cerrahi kliniğinde tiroidektomi uygulanan 371 hasta retrospektif olarak dahil edildi. Hastaların ameliyat endikasyonları, ince iğne aspirasyon biyopsisi sonuçları, preoperatif serum kalsiyum değerleri, ameliyat tipi, postoperatif birinci gün ve birinci aydaki serum kalsiyum değerleri, postoperatif yatış süresi, taburculukta reçete edilen ilaçlar, hastanın histopatolojik tanısı, insidental paratioridektomi olup olmadığı gibi parametreler çalışmaya dahil edildi. Bulgular: Tiroidektomi yapılan 371 hastanın ortalama yaşı 49 (19-82) yıl idi. Hastalara %61 (n= 225) ile en çok total tiroidektomi uygulanmıştı. Hastalara uygulanan üç ameliyat tipinde de pre-op ve post-op kalsiyum değerlerinde anlamlı düşüş mevcut olup farklı ameliyat tipleri arasında belirgin fark görülmemiştir. Tüm gruplarda post-op birinci gün ve birinci ay serum kalsiyum değerleri anlamlı derecede yükselmiştir (p= ,000). Post-op serum kalsiyum düzeyi artışı en çok kalsiyum karbonat + kolekalsiferol + kalsitriol kullanan grupta olmuştur. Sonuç: Tiroidektomi uygulanan hastalarda post-op kalsitriol kullanımı hipokalsemi gelişimini önlemede oldukça etkili görünmektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | PİYADE H, Basoglu M, GÜRSOY E (2023). The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy. , 70 - 75. 10.47717/turkjsurg.2023.5886 |
| Chicago | PİYADE HAMDİ BURAK,Basoglu Mahmut,GÜRSOY ERSAN The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy. (2023): 70 - 75. 10.47717/turkjsurg.2023.5886 |
| MLA | PİYADE HAMDİ BURAK,Basoglu Mahmut,GÜRSOY ERSAN The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy. , 2023, ss.70 - 75. 10.47717/turkjsurg.2023.5886 |
| AMA | PİYADE H,Basoglu M,GÜRSOY E The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy. . 2023; 70 - 75. 10.47717/turkjsurg.2023.5886 |
| Vancouver | PİYADE H,Basoglu M,GÜRSOY E The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy. . 2023; 70 - 75. 10.47717/turkjsurg.2023.5886 |
| IEEE | PİYADE H,Basoglu M,GÜRSOY E "The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy." , ss.70 - 75, 2023. 10.47717/turkjsurg.2023.5886 |
| ISNAD | PİYADE, HAMDİ BURAK vd. "The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy". (2023), 70-75. https://doi.org/10.47717/turkjsurg.2023.5886 |
| APA | PİYADE H, Basoglu M, GÜRSOY E (2023). The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy. Turkish Journal of Surgery, 39(1), 70 - 75. 10.47717/turkjsurg.2023.5886 |
| Chicago | PİYADE HAMDİ BURAK,Basoglu Mahmut,GÜRSOY ERSAN The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy. Turkish Journal of Surgery 39, no.1 (2023): 70 - 75. 10.47717/turkjsurg.2023.5886 |
| MLA | PİYADE HAMDİ BURAK,Basoglu Mahmut,GÜRSOY ERSAN The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy. Turkish Journal of Surgery, vol.39, no.1, 2023, ss.70 - 75. 10.47717/turkjsurg.2023.5886 |
| AMA | PİYADE H,Basoglu M,GÜRSOY E The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy. Turkish Journal of Surgery. 2023; 39(1): 70 - 75. 10.47717/turkjsurg.2023.5886 |
| Vancouver | PİYADE H,Basoglu M,GÜRSOY E The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy. Turkish Journal of Surgery. 2023; 39(1): 70 - 75. 10.47717/turkjsurg.2023.5886 |
| IEEE | PİYADE H,Basoglu M,GÜRSOY E "The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy." Turkish Journal of Surgery, 39, ss.70 - 75, 2023. 10.47717/turkjsurg.2023.5886 |
| ISNAD | PİYADE, HAMDİ BURAK vd. "The effect of different therapeutic treatments on the frequency of postoperative hypocalcemia in patients with thyroidectomy". Turkish Journal of Surgery 39/1 (2023), 70-75. https://doi.org/10.47717/turkjsurg.2023.5886 |
