Trans-sphenoidal hypophysectomy
Surgical removal of a tumor from the pituitary gland. Pituitary tumours account for about 15% of all brain tumours, and they can produce hormones that affect the body or may affect the peripheral vision of a patient. It is usually an elective procedure. However, it is undertaken urgently if the patient's peripheral vision is affected. Surgery is carried out through the nose.
- Speciality ENT, Neurosurgery
- Urgency elective, urgent
- Duration 1.5 to 3 h
- Blood Loss minimal to 1 litre
- Anaesthesia General Anaesthetic
- Procedures Arterial line, Urinary catheter, Throat pack, +/- Central line, Supine position, Group & Save Blood
- Pain mild-moderate (++)
- Post-op Pain II Tablets, Injection (im, iv)
- Hospital Stay 2 to 7 days
- Full Recovery 6 to 12 weeks
- Additional Info Endoscopic surgery is less traumatic than open surgery. Therefore, it is less painful, bleeding is usually minimal and the hospital stay is shorter than with open surgery. Major bleeding can occur if the veins (cavernous sinus) or the carotid arteries are disrupted which lie lateral to the pituitary gland
- More Information University College London Hospitals
- created by Dr James Jack
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