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Title Transsphenoidal surgery : complication avoidance and management techniques / Edward R. Laws, Jr, Aaron A. Cohen-Gadol, Theodore H. Schwartz, Jason P. Sheehan, editors
Published Cham, Switzerland : Springer, 2017


Description 1 online resource
Contents Preface; Contents; Contributors; 1: Evolution of Pituitary Surgery and the Transsphenoidal Approach; Introduction; Early Approaches to the Pituitary; Endoscopy in Transsphenoidal Surgery; Extended Transsphenoidal Approaches; Conclusions; References; 2: The History of Trans-sphenoidal Surgery for Pituitary Tumours; Understanding and Diagnosis of Pituitary Tumours; Surgical Approaches; Transcranial Surgery; Trans-sphenoidal Surgery; Oscar Hirsch; Harvey Cushing; Norman Dott; Gerard Guiot; Jules Hardy; Image Guidance and Intraoperative MRI; Endoscopic Pituitary Surgery
Extended Trans-sphenoidal Surgery Conclusion; References; 3: Principles and Pitfalls of Anesthesia for Transsphenoidal Surgery; Background; Preoperative Assessment; Prolactinomas; Acromegaly; Cushing's Disease; Thyrotropic Adenomas; Nonfunctioning Adenomas; Intraoperative Management; Surgical Factors; Airway Management; Positioning and Preparation for Surgery; Monitoring; Maintenance of Anesthesia; Postoperative Considerations; Pain; Nausea and Vomiting; CSF Leak, Cranial Nerve Injury, and Visual Field Deficits; Hypopituitarism and Postoperative Hormone Screening
Disorders of Water Balance: Diabetes Insipidus (DI) and Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Conclusion; References; 4: Operative Indications and Pitfalls in Patient Selection for Surgery of Pituitary Tumors; Preoperative Evaluation; Radiological Diagnosis; Rhinological Evaluation; Endocrinology Evaluation; Neuro-ophthalmology; Surgical Indications by Lesion; Prolactinomas; Acromegaly; Cushing's Disease; Thyrotropic Adenoma; Nonfunctioning Tumors; Pituitary Apoplexy; Craniopharyngiomas; Meningiomas; Infundibular/Hypothalamic Tumors; Cysts; Metastasis
Reoperations Conclusion; References; 5: The Perioperative and Postoperative Care for Pituitary Patients; Introduction; Preoperative Hormonal Analysis; Disorders of Water Metabolism: Diabetes Insipidus and SIADH; Diabetes Insipidus; Incidence; Diagnosis; Postoperative Clinical Course of DI and Possible SIADH Phase; Indications for Treatment in DI; Adrenal Insufficiency; Special Considerations in Patients with Cushing's Disease; Conclusions; References; 6: Neuro-ophthalmology of Pituitary Tumors; Neuro-anatomy of the Optic Chiasm and Relation to Visual Symptoms
The Neuro-ophthalmic Examination Perimetric Assessment of the Visual Fields; Patterns of Visual Field Loss; Structural Assessment of the Optic Pathways; Fundus Examination; Optical Coherence Tomography; Management of Visual Loss; Postoperative Visual Loss; Efferent Neuro-ophthalmic Complications of Sellar Tumors; Special Considerations; Conclusion; References; 7: Rhinologic Evaluation of Patients Undergoing Transsphenoidal Surgery; Historical Perspective; Nasal Functions and Physiology; Paranasal Sinus Function and Physiology; Preoperative Considerations/Workup; Imaging
Summary This work details contemporary clinical knowledge on the multidisciplinary management of pituitary and other sellar/parasellar tumors, with a focus on surgical techniques and a particular emphasis on complication avoidance and management. International experts provide guidance on natural history, radiologic and clinical aspects, surgical indications, and resection techniques. In addition, case presentations and clinical photographs help the reader reduce the risk of error and advance their own surgical skills. Readers also have access online to streaming videos of key procedures to help them provide the best possible outcomes for every patient. Transsphenoidal Surgery: Complication Avoidance and Management Techniques will be of great value to Neurosurgeons, Otolaryngologists, Endocrinologists, Radiation Oncologists, and residents and fellows in these specialties
Notes Includes index
Online resource; title from PDF title page (SpringerLink, viewed September 26, 2017)
Subject Pituitary gland -- Tumors -- Surgery
Skull base -- Cancer -- Surgery
Pituitary Neoplasms -- surgery
Endocrine Surgical Procedures -- methods
Postoperative Complications -- prevention & control
Sphenoid Sinus -- surgery
Surgical oncology.
HEALTH & FITNESS -- Diseases -- General.
MEDICAL -- Clinical Medicine.
MEDICAL -- Diseases.
MEDICAL -- Evidence-Based Medicine.
MEDICAL -- Internal Medicine.
Pituitary gland -- Tumors -- Surgery
Genre/Form portraits.
group portraits.
Portraits de groupe.
Form Electronic book
Author Laws, Edward R., editor
Cohen-Gadol, Aaron A., editor
Schwartz, Theodore H., editor
Sheehan, Jason P., editor
ISBN 9783319566917