Methylene Blue Injection in the Inferior Thyroid Artery for Identification of Parathyroid Glands during Thyroidectomy. | ||
| Ain Shams Journal of Surgery | ||
| Volume 17, Issue 2, April 2024, Pages 148-152 PDF (535.16 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2024.351443 | ||
| Authors | ||
| Mohamed Aboul Naga; Mostafa Omar Abdelrahman; Mahmoud Talaat | ||
| Department of General Surgery, Faculty of Medicine, Ain Shams University | ||
| Abstract | ||
| Introduction: One typical delayed consequence following thyroidectomy is hypocalcemia. Numerous studies have done to identify risk factors and how to avoid hypocalcemia following thyroidectomy. Our study aims to assess the usefulness of an intraoperative methylene blue injection in the inferior thyroid artery during thyroidectomy for parathyroid gland identification. Aim of work: To identify parathyroid gland intraoperatively by injection of sterile methylene blue. Patients and methods: We have conducted a prospective non-randomized cohort study with 50 patients who underwent hemithyroidectomy or total thyroidectomy between June 2021 and sept 2022. During thyroidectomy, 1 ml (10 mg) of 1% methylene blue was injected in the inferior thyroid artery. Results: Intraoperative injection of methylene blue has a significant effect in reduction of post operative hypocalcemia and hypoparathyroidism. Conclusion: Use of methylene blue injection in the inferior thyroid artery is an effective method to identify parathyroid gland during thyroidectomy and so reduce the incidence of postoperative hypocalcemia. | ||
| Keywords | ||
| Thyroidectomy; parathyroid gland; methylene blue spray; ypocalcemia | ||
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