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Postoperative Management of Patients Following Transsphenoidal Surgery

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Transsphenoidal Surgery

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Abstract

Endonasal transsphenoidal surgery offers access to the anterior, middle, and posterior cranial fossa and is particularly efficacious for sellar lesions, even those with suprasellar extension, cavernous sinus invasion, and sellar and clival infiltration. With the widespread adoption of these techniques, largely obviating the need for sublabial and transcranial approaches, postoperative care is becoming increasingly standardized and simplified. The nature of a patient's pathology largely determines the course of their postoperative care, as does the adjacent neurovascular anatomy and sinonasal anatomy accessed during endonasal, transsphenoidal approaches. In this context, the practitioner should be aware of the following management considerations in both the immediate postoperative inpatient setting and during outpatient follow-up. The protocols used in our center are influenced by the discharge of the majority of our patients on the first postoperative day.

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Authors and Affiliations

  1. Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA, USA

    Martin J. Rutkowski MD

  2. California Center for Pituitary Disorders, Department of Neurological Surgery,, University of California, San Francisco, CA, USA

    Sandeep Kunwar MD

Authors
  1. Martin J. Rutkowski MD
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  2. Sandeep Kunwar MD
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Corresponding author

Correspondence to Sandeep Kunwar MD .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Harvard Medical School Brigham and Women’s Hospital, Boston, MA, USA

    Edward R. Laws, Jr

  2. Department of Neurosurgery, Indianapolis Methodist Hospital, Indianapolis, IN, USA

    Aaron A. Cohen-Gadol

  3. Department of Neurosurgery, Weill Cornell Medical College New York Presbyterian Hospital, New York, NY, USA

    Theodore H. Schwartz

  4. Department of Neurological Surgery, University of Virginia, Charlottesville, VA, USA

    Jason P. Sheehan

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Rutkowski, M.J., Kunwar, S. (2017). Postoperative Management of Patients Following Transsphenoidal Surgery. In: Laws, Jr, E.R., Cohen-Gadol, A.A., Schwartz, T.H., Sheehan, J.P. (eds) Transsphenoidal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-56691-7_31

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  • DOI: https://doi.org/10.1007/978-3-319-56691-7_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-56689-4

  • Online ISBN: 978-3-319-56691-7

  • eBook Packages: MedicineMedicine (R0)

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