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Routine parathyroid autotransplantation during total thyroidectomy: a procedure with predictable outcome
Nisar Ahmed1, Mahmud Aurangzeb, Mohammad Muslim
1Department of Surgery, Khyber Teaching Hospital, Peshawar. drnisar@hotmail.com
JPMA. the Journal of the Pakistan Medical Association
|July 31, 2013
Summary
Parathyroid gland autotransplantation after total thyroidectomy offers a predictable outcome with a significantly lower risk of permanent hypoparathyroidism compared to in situ preservation.
Area of Science:
- Endocrinology
- Surgical Oncology
- Thyroid Surgery
Background:
- Total thyroidectomy is a common procedure for various thyroid disorders.
- Preserving parathyroid gland function is crucial to prevent hypocalcemia post-thyroidectomy.
Purpose of the Study:
- To compare parathyroid gland autotransplantation versus in situ preservation for maintaining parathyroid function after total thyroidectomy.
Main Methods:
- A quasi-experimental study involving 388 patients undergoing total thyroidectomy.
- Group A (n=97): Parathyroid glands preserved in situ.
- Group B (n=291): At least one parathyroid gland autotransplanted to the sternocleidomastoid muscle.
Main Results:
- Permanent hypocalcemia occurred in 3.09% of patients in Group A (in situ preservation).
- Permanent hypocalcemia occurred in only 0.34% of patients in Group B (autotransplantation).
- Both groups were followed for six months post-surgery.
Conclusions:
- Autotransplantation of parathyroid glands after total thyroidectomy is a reliable procedure.
- This technique is associated with a minimal risk of permanent hypoparathyroidism.
- Autotransplantation demonstrates superior outcomes in preserving parathyroid function.
