الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 59 |  |  |
| | | from | 59 | | |
Abstract
The aim of present study are to find out the incidence of the incidental parathyroid excision (IPE) during thyroidectomy and its effects on the postoperative calcium levels and also to evaluate the factors underlying. Place of the study:- The current study is the first in Menoufia university hospital as far as we know to examine the incidence of IPE during thyroid surgery. We found the incidence rate of IPE in our patients about 4% and that compares favorably with the rates reported in the literature Patient and method: In this randomized prospective study we surveyed 30 patients who were admitted in Menofeyia university hospital in the period from November 2012 till March 2014. All the patients had been presented with thyroid diseases including: 1. Simple multinodular goiter, 2. Secondary toxic goiter. 3. thyrioiditis. 4.Thyroid cancer Summary 73 | P a g e The operating surgeon should also keep in mind the anatomical variations of the parathyroid glands to avoid inadvertent injury, devascularization, or resection of the parathyroid parenchyma Hypocalcemia is a major concern following thyroid surgery. The incidence of hypocalcemia was significantly higher among our patients with IPE in the first post-operative day. in the current study, total thyroidectomy was done mainly for malignant thyroid disease, and malignancy was reported to be a strong predictor of incidental parathyroid excision in the earlier studies The association between thyroiditis and an increased risk of IPE can be accounted by the formation of scar tissue as a result of inflammation and by increased bleeding, both of which may cause operative difficulties. Incidental parathyroidectomy may occur even in the hands of more experienced thyroid surgeons.