After a total thyroidectomy, it is not uncommon to have symptoms of hypocalcemia for a short period. Acute hypocalcemia occurs most often during the first postoperative days.
In some cases, the condition is permanent. If hypocalcemia continues for more than one year, the patient has permanent postoperative hypocalcemia.
The incidence of permanent postoperative hypocalcemia is about 0.5 - > 2% depending on the experience of the surgeon and the extent of the local disease. With a reoperation, the risk for postoperative hypocalcemia is significantly greater, which is why it is very important that the first surgery is radical.
- Postoperative hypocalcemia