Predictive Factors of Early Postoperative Hypocalcemia After Surgery for Primary Hyperparathyroidism

Abstract

Primary Hyperparathyroidism (PPH) is a frequent endocrinopathy whose symptomatology is related to a prolonged and excessive secretion of parathyroid Hrmone (PTH). A solitary adenoma is the cause in more than 80% of cases [1]. Surgery with removal of the pathological parathyroid gland (s) is the only definitive treatment that normalizes the serum calcium and PTH levels. Postoperative hypocalcemia is a frequent complication of parathyroidectomy with variable rates which can reach 70% depending on the series [2-4]. This can be temporary or permanent with a prevalence of 0 to 3.8% [2]. Given this fairly significant incidence, some authors recommend a systematic postoperative hospitalization of 24 to 72 hours [5].