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HYPOPHYSECTOMY (indications (removal of craniopharyngiomas, tumors made of…
HYPOPHYSECTOMY
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indications
removal of craniopharyngiomas, tumors made of tissue from around the gland
treatment of Cushing’s syndrome, which happens when your body is exposed to too much of the hormone cortisol
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nursing management
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post-operative care
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replace the fluid with ringers lactate or normal saline if the patient is passing large amount of urine
advise the patient not to blow, or stick anything around the nose
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A drip is attached to the hand and foot and other lines are attached to monitor the heart and breathing.
There may be a dressing on a site of incision in the abdominal wall or thigh if a graft was necessary.
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types of hypophysectomy
Transsphenoidal hypophysectomy: The pituitary gland is taken out through your nose via the sphenoid sinus.
Open craniotomy: The pituitary gland is taken out by lifting it out from under the front of your brain through a small opening in your skull.
Stereotactic Radiosurgery: Instruments on a surgical helmet are placed inside the skull through tiny openings. The pituitary gland and surrounding tumors or tissues are then destroyed, using radiation to remove specific tissues while preserving the healthy tissue around them. This procedure is mainly used on smaller tumors.
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complications
Hypopituitarism: Your body doesn’t produce hormones properly. This may need to be treated with hormone replacement therapy (HRT).
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Cerebrospinal fluid (CSF) leaks: CSF fluid around your brain and spine leak into your nervous system. This requires treatment with a procedure called a lumbar puncture, which involves inserting a needle into your spine to drain excess fluid.
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