Postural Change Assists Surgical Maneuverability During Endoscopic Transsphenoidal Surgery for Pituitary Macroadenoma.
World Neurosurg
; 2024 Sep 21.
Article
de En
| MEDLINE
| ID: mdl-39313192
ABSTRACT
BACKGROUND:
In endoscopic transsphenoidal surgery for pituitary adenoma with suprasellar extension, the prolapse of the stretched floppy diaphragma sellae can obstruct the surgical corridor, posing challenges during pituitary surgery. We have introduced a simple postural change technique to mitigate this issue and are sharing our clinical experience.METHODS:
Pituitary surgery is performed on an operating bed where the patient's position can be adjusted. During transsphenoidal pituitary surgery, raising the patient's head to a Fowler's position causes the diaphragma sellae to move upward, while lowering the head to a supine position causes it to descend. This simple adjustment minimizes hindrance from the floppy diaphragm sellae during surgery.RESULTS:
We illustrate this technique in pituitary surgery, where diaphragm sellae relocation is necessary.CONCLUSION:
A simple postural change technique effectively manages prolapsed floppy diaphragma sellae, enhancing visualization and surgical accessibility during endoscopic transsphenoidal pituitary surgery.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Langue:
En
Journal:
World Neurosurg
Sujet du journal:
NEUROCIRURGIA
Année:
2024
Type de document:
Article
Pays d'affiliation:
Corée du Sud
Pays de publication:
États-Unis d'Amérique