the postoperative concerns after parathyroid resection?
Postoperative hypocalcemia can result from
inadvertent removal of all parathyroid tissue. In this case, serum calcium will
fall below 8 mg/dL. With an experienced surgeon this is a rare occurrence.
Transient mild hypocalcemia often results from
chronic suppression of the remaining glands by chronic hyper-calcemia. Oral
calcium supplementation is usually ade-quate treatment for this. Symptomatic
hypocalcemia should be treated with parenteral calcium. Prolonged hypo-calcemia
(more than several days) should be treated with calcitriol, a vitamin D