What should I monitor after transsphenoidal hypophysectomy?

What should I monitor after transsphenoidal hypophysectomy?

Your endocrinologist will monitor your sodium and hormone levels in the weeks after surgery. They will instruct you on when and where to obtain the blood tests.

What is the most common postoperative complication in the patient undergoing transsphenoidal hypophysectomy for a pituitary tumor?

The findings of present study conducted on patients undergoing transsphenoidal removal of pituitary adenoma revealed: CSF leak was the commonest postoperative complication.

What are the complications of transsphenoidal surgery?

Risks and complications that may occur with this type of surgery also include:

  • CSF rhinorrhea. CSF, or cerebrospinal fluid, is the fluid that surrounds the brain, and it may leak from the nose after surgery.
  • Meningitis.
  • Damage to normal parts of the pituitary gland.
  • Diabetes insipidus.
  • Severe bleeding.
  • Visual problems.

How is a transsphenoidal hypophysectomy performed?

Transsphenoidal hypophysectomy: The pituitary gland is taken out through your nose via the sphenoid sinus, a cavity near the back of your nose. This is often done with the assistance of either a surgical microscope or an endoscopic camera.

How is a Hypophysectomy performed?

To remove the pituitary gland through the nose, surgeons make an incision beneath the upper lip. They will then insert a speculum into the nasal cavity, and remove the pituitary tumor with forceps. Opening the skull works best if tumors have extended above the cavity in which the gland is located.

What is Transsphenoidal pituitary?

Transsphenoidal surgery This is the most common way to remove pituitary tumors. Transsphenoidal means that the surgery is done through the sphenoid sinus, a hollow space in the skull behind the nasal passages and below the brain. The back wall of the sinus covers the pituitary gland.

How is Hypophysectomy done?

The surgery is carried out under general anesthetic, and it takes 1-2 hours to complete. The pituitary gland can be removed through the nose, or it can be removed by opening the skull. To remove the pituitary gland through the nose, surgeons make an incision beneath the upper lip.

What is the meaning of Hypophysectomy?

A hypophysectomy is the surgical removal of the pituitary gland to treat cancerous or benign tumors. Most of the reported pituitary tumors that are removed turn out to be benign. The pituitary gland (also called the hypophysis) is a small, pea-sized gland in the brain behind the eyes.

What will be the consequences of Hypophysectomy?

Complications. Hypophysectomy performed at any age causes atrophy of the thyroid and adrenal glands as well as asthenia and cachexia. When the procedure is performed before sexual maturity, the reproductive tract remains undeveloped and non-functional. There is also a general lack of growth.