What should I expect after transsphenoidal pituitary tumor surgery?

I. Postoperative discomfort symptoms and complications: 1. Nasal discharge: Within a few months after surgery, nasal congestion often occurs, and a small amount of bloody discharge or cool liquid constantly flows out of the nasal cavity. Nasal drops can be injected in the nasal cavity to reduce inflammation. Clean up the nasal secretions 1-2 times in the ENT department 1 week after surgery.

2, nasal bleeding: mostly occurs after the gauze stuffed in the nasal cavity is removed after surgery, individually after several days, the lighter nasal cavity can be temporarily filled with cotton balls to see the effect. In severe cases (bleeding of several hundred milliliters), angiography is required.

3, headache: may be caused by multiple factors such as nasal mucosa edema butterfly sinus inflammation, heavy cases can take painkillers symptomatic treatment.

4, hypopituitarism: manifested as fever, general weakness, headache, nausea, vomiting, not thinking about eating and drinking, etc. Check blood cortisol and thyroid hormone, and after the diagnosis is clear, use prednisone and thyroxine for treatment under the guidance of doctors.

5. Hyponatremia: It usually occurs on the 4th-8th postoperative day, manifested as hypothermia, weakness, headache, nausea, vomiting, and in severe cases, mental deterioration. Low blood and chloride values on laboratory tests. After the diagnosis is clear, the infusion is supplemented with hypertonic saline, and water intake is restricted.

6. Nasal leakage of spinal fluid: constant flow of clear water in the nose, aggravated by low head, accompanied by headache and possible fever. Surgical repair in severe cases.

7.Urinary collapse: manifested by drinking more water and urinating more. More than 4000 ml a day. Appropriate control of drinking water, record the amount of water and urine, oral mydriatic tablets 0.05 mg (half a tablet), or dihydrocortisone 50 mg (2 tablets), 3 times a day, usually after 3 to 5 days more can improve. During the occurrence of uveitis should drink more orange juice and food vegetable soup with high salt content.

8, vision loss: early may be caused by factors such as vasospasm. Promptly report to the doctor after discovery.

Second, life precautions: 1, one month after surgery, it is appropriate to enter easily digestible things, and pay attention to dietary hygiene, prohibit overeating and drinking and smoking.

2. Take a month’s rest after surgery and avoid strenuous exercise; it is recommended not to have intercourse within 2 months and not to get pregnant within 3 months.

3.After surgery, you should recuperate in a quiet environment and avoid contact with too many people or mental work.