الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Post-operative hypocalcaemia is one of the well-known complications after total thyroidectomy; with reported incidences ranging from 1.6% to50%. Routine oral calcium (OC) and vitamin D supplementation has been proposed empirically to avoid the risk of hypocalcaemia crisis and to enhance hospital discharge after bilateral thyroid resection. This proposal is in agreement with the trend observed during the last decade toward the reduction of PO stay for thyroid operation in an attempt to decrease costs.The purpose of this study was to prospectively evaluate the efficacy of routine oral calcium and vitamin D supplementation in preventing symptoms related to hypocalcaemia after total thyroidectomy. This study is a prospective controlled study that was carried on forty patients undergoing total thyroidectomy for toxic goiter to evaluated the efficacy of the use of routine oral calcium and vitamin D supplementation in prevention of the hypocalcaemia in such patients and as well to shorten the post-operative stay period and the cost of post-operative monitoring using measurement of I PTH and calcium levels .We choose toxic goiter patients because it is known that the hypocalcaemia incidence and manifestations is more common to occur in those toxic patients because of implicated bone absorption in patients with thyrotoxic osteodystrophy which is the primary source of transient DROPs in serum calcium levels following thyroidectomy.In this study we compared a group of 20 patients who used calcium and vitamin D post operatively and other group of 20 patients who did not receive any supplements post operatively as regard to thehypocalcemic manifestations incidence and severity and as regard to the postoperative blood levels of parathormone and calcium levels in a period of one month.