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Background: Post-thyroidectomy hypocalcaemia is one of the most prevalent morbidities. Serum parathormone hormone (PTH) levels before and after the operation have been an area of high interest for detecting the risk of postoperative hypocalcaemia. Aim: This study was conducted to determine the accuracy of perioperative parathormone hormone assessment as a predictor of parathyroid gland injury in total thyroidectomy operations. Methods: Fifty patients presented with goiter indicated for total thyroidectomy operation were evaluated and operated. Routine preoperative labs with measurement of the parathormone hormonal level, thyroid profile, and serum calcium (Ca) were done. Results: The level of postoperative PTH was lower in patients with post-operative manifestations of hypocalcaemia than those without (6.3 ± 5.1 vs. 24.8 ± 6.7), with a 78.9% drop in PTH from the preoperative level in the hypocalcaemia group versus 56.1% drop in the normocalcemia group (P < 0.0001). Percentage changes in PTH had good discriminative power, AUC=0.840 (95% CI: 0.648-1.000), p=0.002. Conclusion: postoperative PTH levels can be a good predictor of hypocalcemia in total thyroidectomies. Patients with a greater than 64.8% decrease in PTH levels were significantly more likely to develop hypocalcemia.

Background: Thrombectomy is the most common surgical technique used to reestablish failed hemodialysis access. Then percutaneous thrombectomy was introduced. To achieve better patient outcomes, hybrid technique with combined open thrombectomy and angioplasty has been introduced in recent years. Aim of the study: To evaluate the hybrid technique by surgical Fogarty thrombectomy and balloon angioplasty in salvage of acutely failed dialysis access regarding feasibility, early and mid term results.

Conclusion: The diameter of the saphenous vein has no correlation with the length of stump after RFA. As long as ClosureFastTM (Covidien, Mansfield, MA, USA) catheter was used for ablation with its tip placed 2cm distal to SFJ, under locally injected Tumescent anaethesia.