ORIGINAL ARTICLE
Year : 2014  |  Volume : 8  |  Issue : 3  |  Page : 335-341

Immediate postoperative complications in transsphenoidal pituitary surgery: A prospective study


1 Department of Anesthesiology and Perioperative Medicine, Health Sciences Center, University of Manitoba, Winnipeg, Canada
2 Department of Neuroanesthesiology and Neuro-Critical Care, All India Institute of Medical Sciences, New Delhi, India
3 Department of Research, University of Southampton, Southampton, United Kingdom
4 Department of Anesthesiology, Fortis Hospital, Gurgaon, India

Correspondence Address:
Dr. Tumul Chowdhury
Department of Anesthesia and Perioperative Medicine, 2nd Floor, Herry Medovy House, 671 - William's Ave, Health Sciences Center, University of Manitoba, Winnipeg, Canada R3E 0Z2
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.136424

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Background: Considering the important role of pituitary gland in regulating various endocrine axes and its unique anatomical location, various postoperative complications can be anticipated resulting from surgery on pituitary tumors. We examined and categorized the immediate postoperative complications according to various tumor pathologies. Materials and Methods: We carried out a prospective study in 152 consecutive patients and noted various postoperative complications during neurosurgical intensive care unit stay (within 48 hrs of hospital stay) in patients undergoing transsphenoidal removal of pituitary tumors. Results: In our series, various groups showed different postoperative complications out of which, cerebrospinal fluid leak was the commonest followed by diabetes insipidus, postoperative nausea and vomiting, and hematoma at operation site. Conclusion: Various immediate postoperative complications can be anticipated in transsphenoidal pituitary surgery even though, it is considered to be relatively safe.


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