What is the Sublabial transsphenoidal surgery?
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Transsphenoidal surgery (via sublabial incision) is the surgical procedure used for microadenomas and most macroadenomas that allows microsurgical exploration of the sella turcica, permitting removal of the pituitary tumor, while preserving the functional capacity of the remaining gland.
How long does transsphenoidal surgery take?
The procedure itself usually takes about three hours. Patients go to the recovery room for two to three hours after the surgery and are then admitted to the hospital floor. There is no need to stay in an Intensive Care Unit.
Is transsphenoidal surgery brain surgery?
Endoscopic pituitary surgery, also called transsphenoidal endoscopic surgery, is the most common surgery used to remove pituitary tumors. The pituitary gland is located at the bottom of your brain and above the inside of your nose.
How is transsphenoidal surgery done?
Transsphenoidal surgery The back wall of the sinus covers the pituitary gland. To do this surgery, the neurosurgeon makes a small incision (cut) along the nasal septum (the cartilage between the 2 sides of the nose) or under the upper lip (above the teeth).
What is Sublabial approach?
A, The sublabial approach is directed under the lip and submucosally along the side of the nasal septum to the face of the sphenoid. The inset shows the site of the gingivobuccal incision and the direction of insertion of the speculum under the lip to reach the nasal cavity.
Is Transsphenoidal surgery safe?
Conclusion: Transsphenoidal surgery is an effective and safe treatment for most patients with pituitary adenoma and could be considered the first-choice therapy in all cases except for prolactinomas responsive to dopamine agonists.
Does Transsphenoidal surgery hurt?
Most patients experience mild to moderate discomfort for several days after surgery. The amount of discomfort varies from patient to patient, with some requiring only mild pain medications for a day or two whereas a minority of patients require pain medications for several weeks.
What size pituitary tumor is considered large?
Large pituitary tumors — those measuring about 1 centimeter (slightly less than a half-inch) or larger — are known as macroadenomas. Smaller tumors are called microadenomas. Because of the size of macroadenomas, they can put pressure on the normal pituitary gland and nearby structures.
What are the complications 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.