Hypophysectomy 3l494l

HYPOPHYSECTOMY

OBJECTIVE 

Commonly performed to treat tumors, especially craniopharyngioma tumors.



It is used to treat Cushing's syndrome due to pituitary adenoma.

DEFINITION 

Hypophysectomy is the surgical removal of the pituitary gland, also called hypophysis.

PITUITARY GLAND

INDICATIONS Craniopharyngioma  Cushing's syndrome  Pituitary tumors 

DIAGNOSTIC TEST     

Brain MRI CT-Scan Blood Test Plasma levels of GH Ophthalmologic exam

BRAIN MRI

NURSING MANAGEMENT PRE OPERATIVE CARE Assess the patient knowledge and understanding of the planned operative procedure.  Obtain a health history and physical assessment.  Explain necessary post operative activity restriction. 

CONT… Teach respiratory hygiene procedures such as coughing, and deep breathing exercise.  ister intravenous antibiotic as ordered.  Keep patient NBM. 

COMPLICATION        

Hypopituitarism. Cerebrospinal fluid (CSF) leakage. Infection. Bleeding. Nasal septal perforation. Visual impairment. Incomplete tumor removal. Diabetic Insipidus

NURSING MANAGEMENT POST OPERATIVE CARE      

Monitor vital signs. Provide bed rest. Assess nasal drip pad (“moustache” dressing) frequently for blood or clear fluid. Encourage the patient to use the straw for drinking any fluid. Frequent oral hygiene and a cool vaporizer mist. Avoid toothbrushing for 10 days. ister analgesic to reduce pain as ordered.

Treatment : *Treatment Hormone replacement therapy, including glucocorticoids, thyroid hormone, sex steroids, growth hormone and vasopressin, is usually free of complications. Glucocorticoid replacement require careful dose adjustments during stressful events. 

REFERENCE

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