Hypophysectomy
Hypophysectomy | |
---|---|
ICD-9-CM | 07.6 |
MeSH | D007016 |
Hypophysectomy is the surgical removal of the
Medications that are given as
Methods of hypophysectomy
Hypophysectomies can be performed in three ways. These include transsphenoidal hypophysectomy, open craniotomy, and stereotactic radiosurgery. Each of these methods differ in the method in which the pituitary gland is removed.[citation needed]
Transsphenoidal hypophysectomy
In a transsphenoidal hypophysectomy, the pituitary gland or section of the pituitary gland is removed through the sphenoid sinus and out through the nose.[6]
Open craniotomy
In an open craniotomy, a cavity is opened within the skull to reach the pituitary gland.[4] Once the cavity is open, the pituitary gland is removed through the cavity.
Stereotactic radiosurgery
in stereotactic radiosurgery, a headframe is applied to a patient.[7] MRI or CT scans are then administered on the patient to allow a map of the head/brain to be formed. This map will then be used as a guide to allow correct orientation of the lasers administering radiation to specifically destroy the pituitary gland or part of the pituitary gland.
Complications
Hypophysectomy performed at any age causes atrophy of the
There is a risk of cerebral spinal fluid leak due to penetration of the basal skull and risk of increased cerebral spinal fluid pressure that may lead to central nervous system changes. Post surgery, patients may have a severely altered self-image that may lead to an increased risk of suicide. There is also an increased risk of hemorrhage and infection secondary to the surgical procedure.[8]
See also
- List of surgeries by type
References
- S2CID 2169345.
- PMID 20829628.
- ISSN 0035-9157.
- ^ a b "Pituitary service: Transsphenoidal hypophysectomy" (PDF). uclh.nhs.uk. June 2014. Retrieved 22 February 2020.
- ^ "Dramatically Increased Intestinal Absorption of Cholesterol Following Hypophysectomy Is Normalized by Thyroid Hormone". Archived from the original (PDF) on 2013-10-15. Retrieved 2013-10-15.
- ^ Gaillard, Frank. "Transsphenoidal hypophysectomy | Radiology Reference Article | Radiopaedia.org". Radiopaedia. Retrieved 2020-03-14.
- ^ "Stereotactic Radiosurgery - Treatments - For Patients - UR Neurosurgery - University of Rochester Medical Center". www.urmc.rochester.edu. Retrieved 2020-03-14.
- ^ Swearingers. Manuel of medical surgical nursing: A care planning Resource. 7th Edition