<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202023000300011</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2023.diciembre.11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hipocalcemia transitoria en pacientes operados de tiroidectomía total en el servicio de cirugía general. Hospital Nacional de Itauguá. Periodo: 2016 - 2022]]></article-title>
<article-title xml:lang="en"><![CDATA[Transient hypocalcemia after total thyroidectomy on general surgery services. Hospital Nacional de Itauguá. Period: 2016 - 2022]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aranda-Wildberger]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayala]]></surname>
<given-names><![CDATA[Robert]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villalba-Aquino]]></surname>
<given-names><![CDATA[Marcelo Damián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Centro Médico Nacional Departamento de Cirugía]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Centro Médico Nacional Servicio de Cirugía de Cabeza y Cuello]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>47</volume>
<numero>3</numero>
<fpage>11</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202023000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202023000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202023000300011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La hipocalcemia transitoria postiroidectomia es la complicación más frecuente de la cirugía cervical, la misma puede ser leve y asintomática, o grave. El objetivo fue identificar la prevalencia de hipo- calcemia transitoria en paciente operados de tiroidectomía total, en el servicio de cirugía general del Hospital Nacional de Itauguá, durante el periodo entre enero de 2016 a diciembre de 2022. Métodos: Se realizó un estudio descriptivo, observacional, retrospectivo de corte transversal, con un muestreo no probabilístico de casos consecutivos de todos los pacientes sometidos a tiroidectomía total por patología benigna, desde enero 2016 hasta diciembre 2022. Resultados: Del total de 141 fichas de pacientes post operados, en la distribución por sexo se encontró una prevalencia del 92% del sexo femenino con una edad promedio de 55 años ± 5. La prevalencia de hipocalcemia laboratorial fue de 32,6% (46), considerando el valor de calcio total inferior a 8 mg/dL, sin embargo, solo el 19,1% (27) de los pacientes presentó hipocalcemia clínica. Conclusión: La hipocalcemia sigue representando una complicación frecuente en la tiroidectomía: desde un 19,1% con manifestaciones clínicas hasta casi un tercio de los pacientes en los análisis laboratoriales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Transient post thyroidectomy hypocalcemia is the most frequent complication of neck surgery, it can be mild and asymptomatic, or severe. The objective was to identify the incidence of transient hypocalcemia in patients undergoing total thyroidectomy, in the General Surgery Service of the Hospital Nacional de Itauguá. Material and methods: A descriptive, observational, retrospective, cross-sectional study was carried out, with a non-probabilistic sampling of consecutive cases of all patients undergoing total thyroidectomy for benign pathology, from January 2016 to December 2022. Conclusions: Of the total of 141 records of operated patients, in the distribution by sex a prevalence of 92% of the female sex with an average age of 55 years ± 5 SD was found. The incidence of laboratory hypocalcemia was 32.6% (46), con- sidering the total calcium value less than 8 mg/dl; however, only 19.9% (27) of the patients presented clinical hypocalcemia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hipoparatiroidismo]]></kwd>
<kwd lng="es"><![CDATA[Hipocalcemia]]></kwd>
<kwd lng="es"><![CDATA[Tiroidectomía]]></kwd>
<kwd lng="en"><![CDATA[Hypoparathyroidism]]></kwd>
<kwd lng="en"><![CDATA[Hypocalcemia]]></kwd>
<kwd lng="en"><![CDATA[Thyroidectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fretes]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Cardozo]]></surname>
<given-names><![CDATA[AHR]]></given-names>
</name>
<name>
<surname><![CDATA[Caballero R]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Fretes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Insfran]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Verdecchia-Insfran]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidencia de complicaciones de la tiroidectomía total en el Servicio de Cirugía General Hospital Militar Central de las Fuerzas Armadas de la Nación]]></article-title>
<source><![CDATA[Cir. Parag.]]></source>
<year>2020</year>
<volume>44</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>25</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez Bello]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera Real]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes García]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbilidad posquirúrgica en pacientes sometidos a tiroidectomía en el hospital general de Acapulco. Tres años de experiencia]]></article-title>
<source><![CDATA[Cir. Gen.]]></source>
<year>2014</year>
<volume>36</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>91-5</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gutierrez Fernandez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Lopez Useros]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz Cacho]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Casanova Rituerto]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prediccion de hipocalcemia postiroidectomia mediante determinacion de PTH rapida]]></article-title>
<source><![CDATA[Cir. Esp.]]></source>
<year>2021</year>
<volume>99</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>115-23</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huguet]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cortés]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Varsavsky]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Protocolo de diagnóstico y manejo de hipocalcemia en postopera- torio de tiroides]]></article-title>
<source><![CDATA[Rev Osteoporos Metab Miner]]></source>
<year>2020</year>
<volume>12</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>71-6</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ventosa-Viña]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cuéllar-Olmedo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Crespo-Soto]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Palacio-Mures]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[García-Duque]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lázaro-Martín]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Actualización en el tratamiento del hipoparatiroidismo posquirúrgico]]></article-title>
<source><![CDATA[Revista ORL]]></source>
<year>2022</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Román-González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zea-Lopera]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Londoño-Tabares]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Builes-Barrera]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pilares para el enfoque y tratamiento adecuado del paciente con hipoparatiroidismo]]></article-title>
<source><![CDATA[Iatreia]]></source>
<year>2018</year>
<volume>31</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>155-65</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gonzalez-Botas]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Lourido Piedrahita]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hipocalcemia postiroidectomía total: incidencia, control y tratamiento]]></article-title>
<source><![CDATA[Acta otorrinolaringologia]]></source>
<year>2013</year>
<volume>64</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>102-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castro Calvo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[La PTH como predictor de la necesidad de tratamiento para la hipocalcemia post-tiroidectomia]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Autónoma de Madrid]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barquero-Melchor]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Delgado-Rodríguez]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Juantá-Castro]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hipocalcemia e hipoparatiroidismo post tiroidectomía]]></article-title>
<source><![CDATA[Acta méd. costarric]]></source>
<year>2015</year>
<volume>57</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>184-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Horvath]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[CF]]></given-names>
</name>
<name>
<surname><![CDATA[Majlis]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prospective validation of the ultrasound based TIRADS (Thyroid Imaging Reporting And Data System) classification: results in surgically resected thyroid nodules]]></article-title>
<source><![CDATA[Eur Radiol]]></source>
<year>2017</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>2619-28</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Velázquez]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de Cáncer de Tiroides en Centros de Referencia del Paraguay]]></article-title>
<source><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></source>
<year>2020</year>
<volume>53</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>67-72</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina Ruíz]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones post operatorias en la tiroidectomía total por bocio multinodular en el Instituto Nacional del Cáncer]]></article-title>
<source><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></source>
<year>2014</year>
<volume>47</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>33-46</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Franco López]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira Bogado]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Samudio Machuca]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidencia de complicaciones post-tiroidectomia total en el Centro Médico Nacional- Hospital Nacional, periodo 2018-2022]]></article-title>
<source><![CDATA[Rev. Nac. (Itauguá)]]></source>
<year>2023</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>14-23</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gac]]></surname>
<given-names><![CDATA[EP]]></given-names>
</name>
<name>
<surname><![CDATA[Cabané]]></surname>
<given-names><![CDATA[TP]]></given-names>
</name>
<name>
<surname><![CDATA[Amat]]></surname>
<given-names><![CDATA[VJ]]></given-names>
</name>
<name>
<surname><![CDATA[Huidobro]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Rossi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[FF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidencia de hipocalcemia pos tiroidectomía total]]></article-title>
<source><![CDATA[Rev. méd. Chile]]></source>
<year>2007</year>
<volume>135</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>26-30</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
