Contributing / June 11, 2020

What are the complication of transsphenoidal surgery?

The findings of present study conducted on patients undergoing transsphenoidal removal of pituitary adenoma revealed: CSF leak was the commonest postoperative complication. Other common complications noted were DI, prolonged postoperative ventilation, PONV and electrolyte disturbances.

Which activity is contraindicated immediately after transsphenoidal surgery?

Bending & Lifting. Heavy lifting, straining, and exercise that might cause bleeding should be avoided during the first two weeks.

How common is Transsphenoidal surgery?

It occurs very infrequently, when the operation is performed by an expert pituitary surgeon, with an incidence of less than 1/1000 cases.

Is pituitary surgery risky?

Risks of endoscopic pituitary surgery Endoscopic pituitary surgery is a safe type of surgery, but all surgical procedures carry some risk for reaction to anesthesia, bleeding, and infection. Risks and complications that may occur with this type of surgery also include: CSF rhinorrhea.

What causes Macroadenoma?

It is not known exactly what causes a pituitary macroadenoma. Some people inherit gene mutations that increase their risk of developing these tumors. Other cases are sporadic, meaning there is no family history. Gene mutations may still be involved in sporadic cases.

What are the complications of pituitary tumor?

Though not very common, there are certainly serious complications that can occur during or after pituitary tumor surgery. These range from sinus infection, bleeding and hormone dysfunction to meningitis, vision loss, stroke and even death. Thankfully, the risks of these major complications are low (1-3%).

What is the hypophysis?

Your pituitary (hypophysis) is a pea-sized endocrine gland at the base of your brain, behind the bridge of your nose and directly below your hypothalamus. It sits in an indent in the sphenoid bone called the sella turcica.

What is Sheehan syndrome?

Sheehan’s syndrome is a condition that affects women who lose a life-threatening amount of blood in childbirth or who have severe low blood pressure during or after childbirth, which can deprive the body of oxygen. This lack of oxygen that causes damage to the pituitary gland is known as Sheehan’s syndrome.

Can you live without the pituitary gland?

The pituitary gland is called the master gland of the endocrine system. This is because it controls many other hormone glands in the body. According to The Pituitary Foundation, without it, the body wouldn’t reproduce, wouldn’t grow properly and many other bodily functions just wouldn’t function.

Which surgeon might provide the operative exposure for the neurosurgeon in a transsphenoidal approach to the sella turcica?

The otolaryngologist has the advantage of familiarity with the techniques and instruments used to gain exposure of the sella turcica by transnasal approach. Hence, the otolaryngologist provides the exposure, and the neurosurgeon resects the tumour.

What is the best treatment for Macroadenoma?

Gonadotropin-secreting macroadenomas are treated surgically, followed by radiation. Medical therapy is reserved for those patients who decline definitive treatment. Bromocriptine or octreotide may be used. LH-releasing hormone antagonists may decrease hormone levels but do not affect the tumor size.

What are the possible complications of transsphenoidal surgery?

More extensive previous experience with transsphenoidal surgery was associated with a greater likelihood of having witnessed each specific complication. The mean operative mortality rate for all three groups was 0.9%. Anterior pituitary insufficiency (19.4%)and diabetes insipidus (17.8%) were complications with the highest incidence of occurrence.

What are the postoperative complications of transsphenoidal removal of pituitary adenoma?

What is the difference between craniotomy and transsphenoidal surgery?

As compared to craniotomy, transsphenoidal surgery offers the advantage of low morbidity and mortality, preservation of normal pituitary function, lower incidence of permanent diabetes insipidus, lesser trauma to the frontal lobes and optic chiasm, less blood loss and no external scar.[3]

Is glycopyrrolate premedicated before transsphenoidal surgery?

Surgeons with more than 6 years of experience in transsphenoidal surgery were involved in the study. Pregnant patients were excluded from this study. All patients were premedicated with glycopyrrolate 0.2 mg intramuscularly, 30 mins before shifting to operating room.