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document
Effect of surgical technique in subtotal and bilateral thyroidectomy on risk of postoperative parathyroid insufficiency development -- our experience . One of the postoperative complications after strumectomy is hypoparathyroidism . Therefore , the purpose of our study was to evaluate the effect of the surgical technique on the development of parathyroid gland insufficiency in our group of patients . Subtotal , bilateral strumectomies were performed according to Rothmund 's suggestions . Randomized controlled trial was performed in two groups . In the first group of 19 patients , main trunk of the inferior thyroid artery was ligated and in the second one consisting of 18 patients , only the branches of this artery were ligated . Total calcium and PTH levels were evaluated pre- and postoperatively . Based on the biochemical and clinical data , no statistically significant differences in the development of postoperative hypoparathyroidism in relation to performed surgical techniques were observed .
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Intervention_Surgical
surgical technique
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Intervention_Surgical
subtotal and bilateral thyroidectomy
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Intervention_Surgical
surgical technique
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Intervention_Surgical
bilateral strumectomies
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Intervention_Surgical
main trunk of the inferior thyroid artery was ligated
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Intervention_Surgical
only the branches of this artery were ligated .
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Intervention_Surgical
surgical techniques
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Outcome_Physical
development of parathyroid gland insufficiency
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Outcome_Physical
Total calcium and PTH levels
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Outcome_Physical
development of postoperative hypoparathyroidism
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Participant_Condition
parathyroid gland insufficiency
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Participant_Sample-size
19 patients
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Participant_Sample-size
18 patients