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COMPARATIVE RESEARCH TO COMPARE THE OUTCOMES AMONG PATIENTS EXPERIENCING TOTAL THYROIDECTOMY AND SUB-TOTAL THYROIDECTOMY

Dr Zarish Fatima Malik, Dr. Tayyba Inayat, Dr Aneeza Saleem

Objective: The purpose of this research was to compare the outcomes among those patients who underwent total thyroidectomy and sub-total thyroidectomy. Material and Methods: We carried out this comparative research at Services Hospital, Lahore from March 2017 to January 2018 on a total of 240 patients. All the included patients either underwent total thyroidectomy or they received subtotal thyroidectomy. We also evaluated postoperative hypocalcemia outcomes in all the patients. In this research, we included both female and male patients in the age bracket of 14 – 50 years. We did not include any patient with hypocalcemia due to systemic disease, renal disease, preoperative lactation, postoperative lactation or any other associated disease along with symptomatic postoperative hypocalcemia after total following total thyroidectomy or subtotal thyroidectomy. Results: Patients were divided in Group – I & II with a respective mean age of (30.94 ± 9.6) years and (31.59 ± 11.03) years. In the total population 62 patients (35.63%) presented asymptomatic hypocalcemia in Group – I and 30 patients (17.24%) in Group – II. Significant statistical difference between both groups was present with a P-Value of (0.00). Conclusion: There was a significant increase in the occurrence of asymptomatic hypocalcemia after experiencing total thyroidectomy than sub-total thyroidectomy. Asymptomatic hypocalcemia affects both male and female equally either after receiving total thyroidectomy or after undergoing subtotal thyroidectomy. Both young and old age is under the same risk of development of asymptomatic hypocalcemia after total thyroidectomy or subtotal thyroidectomy. Key Words: FNAC, MNG, Thyroid Isotope Scan, HPE, Thyrotoxicosis, Total Thyroidectomy and Subtotal Thyroidectomy.

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