Hypophysectomy
Definition
this is a surgical removal of the hypophysis or pituitary gland
Complications
Indications of the surgery
Removal of carionopharnygiomas
Tumors made of tissue from the gland aroun it
Removal of tumors around pituitary gland
Treatment of cushing's syndrome
How it is performed?
Pre-operative care
Insertion of a speculum into the nasal cavity
Removal of the pituitary tumor with forceps
Incision made beneath the the upper lip
With the skull open , it is best
To remove the gland through the nose
Health history and physical assesment
Explain the neccesary post operative activity restriction
Asses the patient knowledge and understanding of the surgery
Teach respiratory hygiene and breathing exercise
Administer intravenous antibiotic as ordered
Post-operative care
Encourage patient to use straw for drinking
Frequent oral hygiene
Asses nasal dressing for blood or clear fluid
Provide bed rst
Administer analgesia as prescibed
Monitor vital signs
Bleeding
Visual impairement
Infection
Incomplete tumor removal