After transsphenoidal pituitary surgery?

Update Date: 2024-07-13 Source: Network

summary

The surgical methods of pituitary tumors are divided into two categories: one is suprasellar surgery, that is, craniotomy for pituitary tumors, which is handled by neurosurgeons. The other is the operation under sella turcica, in which the pituitary tumor is resected through the external ethmoid and sphenoid sinus, mostly by the otolaryngologist; Or through the sublabial nasal septum to the sphenoid sinus approach for pituitary tumor resection, mostly by neurosurgery and otolaryngologists. Now let's talk about the treatment after transsphenoidal pituitary surgery

After transsphenoidal pituitary surgery?

1. Routine antibiotics intravenous drip after operation, observe the changes of body temperature and consciousness, and prevent intracranial infection. The increase of body temperature within 12 hours is related to heat absorption or dysfunction of hypothalamic thermoregulatory center, which does not necessarily mean the existence of infection.

2. The blockage in the nose and paranasal sinuses is usually removed in 5-7 days. After removal, the nasal cavity should be converged, the scab should be removed, and the nasal cavity should be washed with normal saline, and then the antibacterial liquid should be dripped. Keep the operation cavity clean, in order to facilitate the growth of wound epithelium, so that it will last about 2-3 weeks.

3. For patients with large tumor, about 25% of them may lack pituitary hormone after operation and need to be given alternative therapy. Steroids and thyroxine were continued to supplement until the pituitary function test returned to normal, about 6 weeks after operation. The pituitary function examination before operation should be re examined after operation to judge the effect of operation.

matters needing attention

What we said above is mainly the matters needing attention of patients with pituitary adenoma after transsphenoidal surgery. Patients must operate in strict accordance with the above instructions, and pay attention to their own living habits and diet rules.