Effect of prehabilitation on post-operative hypocalcemia in patients undergoing total thyroidectomy.

It is a prospective observational study which aims to assess the demographic profile and indications for total thyroidectomy. To estimate the incidence of preoperative hypocalcaemia and hypovitaminosis D3 in patients posted for total  thyroidectomy and to  correct them preoperatively. To evaluate the intra operative findings in terms of whether parathyroid glands are identified at surgery, superior or inferior or both glands are identified, site of ligation of inferior thryoid artery , whether auto transplatation of parathyroid glands is done during surgery.To estimate te incidence of post operative hypothyroidism 24 hours after surgery by Serum iPTH levels. To estimate the incidence of clinical and biochemical hypocalcemia on Day 1 and Day 3 post surgery.

Hypocalcemia is life threatening situation , many patients preoperatively have hypocalcemia and hypo -vitaminosis D , so we try to evaluate pre operative calcium levels with early post operative parathormone level and serum calcium to reduce the risk of post operative hypocalcemia which might lead to permanent hypothyroidism.

This study will help to evaluate the role of pre-operative correction ( prehabiliatation) of hypcalcemia and hypovitaminosis d in preventing post op hypocalcemia in patients undergoing total thyroidectomy.It will also help us evaluate the role of early operative levels of serum parathormone levels to predict post operative hypocalcemia / hypoparathyroidism and risk of protracted hypocalcemia.