Effect of Truncal Versus Branch Ligation of Inferior Thyroid Artery on Postoperative Hypocalcemia Patients Undergoing Thyroid Surgery: Rawalpindi

Journal of Biology and Life Science Pub Date : 2023-10-05 DOI:10.37185/lns.1.1.366

Romassa Javed, Muhammad Qasim Butt, Mansoor Tariq, Rohan Qamar, Sarah Tauseef Bukhari

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Abstract

Objective: To investigate the effect of truncal or branch ligation of the inferior thyroid artery on postoperative hypocalcemia. Study Design: Quasi-experimental study.Place and Duration of Study: The study was conducted at the Department of Surgery, Pak Emirates Military Hospital (PEMH), Rawalpindi, Pakistan from July 2021 to June 2022.Methods: For this study, 60 patients were enrolled who underwent total thyroidectomy at the Department of Surgery from July 2021 to June 2022. Patients were divided into Group 'A' and Group 'B', with an equal number of 30 patients in each group. Patients in group 'A' underwent bilateral ITA ligation at the trunk, while patients in group 'B' underwent ligation of terminal branches of ITA on the gland capsule. The primary outcome was postoperative hypocalcemia on 1 postoperative day.Results: Our results showed a significant difference in hypocalcemia in both groups. Decreased incidence of biochemical hypocalcemia was found in branch ligation of ITA (3.33%) than trunk ligation (36.36%) P value 0.025.Conclusion: Branch ligation of ITA decreases the incidence of hypocalcemia after total thyroidectomy. How to cite this: Javed R, Butt MQ, Tariq M, Qamar R, Bukhari ST. Effect of Truncal Versus Branch Ligation of Inferior Thyroid Artery on Postoperative Hypocalcemia Patients Undergoing Thyroid Surgery: Rawalpindi. Life and Science. 2023; 4(4): 452-457. doi: http://doi.org/10.37185/LnS.1.1.366

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甲状腺下动脉截尾与分支结扎对甲状腺手术后低钙患者的影响:拉瓦尔品第

目的:探讨甲状腺下动脉截尾或分支结扎对术后低钙血症的影响。研究设计:准实验研究。研究地点和时间:研究于2021年7月至2022年6月在巴基斯坦拉瓦尔品第的巴基斯坦阿联酋军事医院(PEMH)外科进行。方法:本研究纳入了2021年7月至2022年6月在外科接受甲状腺全切除术的60例患者。将患者分为“A”组和“B”组，每组各30例。“A”组患者行双侧主干ITA结扎，“B”组患者行腺包膜ITA末端分支结扎。主要终点为术后1天的低钙血症。结果:我们的结果显示两组在低钙血症方面有显著差异。ITA分支结扎组生化性低血钙发生率(3.33%)低于主干结扎组(36.36%)，P值为0.025。结论:ITA分支结扎可降低甲状腺全切除术后低钙血症的发生率。Javed R, Butt MQ, Tariq M, Qamar R, Bukhari ST.甲状腺下动脉截尾与分支结扎对甲状腺手术后低钙患者的影响:Rawalpindi。生命与科学。2023;4(4): 452 - 457。doi: http://doi.org/10.37185/LnS.1.1.366

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Journal of Biology and Life Science

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