Post-operative considerations for pituitary adenoma

Pituitary adenoma is a benign tumor and is divided into many types. Common pituitary adenomas include prolactin adenoma, growth hormone adenoma, adrenocorticotropic hormone adenoma (Cushing’s disease) and non-functional adenoma. Transsphenoidal surgery is a safer surgical approach with less trauma, better efficacy and faster recovery after surgery. After discharge, please pay attention to the following: 1. After discharge, you can eat and drink normally with no special contraindications.

2, pay attention to proper rest, if there is no special situation, you can work normally after 1-3 months.

3.After surgery, the loss of taste and smell is mostly temporary, no special treatment is needed, it can recover by itself.

4.For a period of time after surgery, there may still be blood and blood clots in the sputum, saliva or nasal discharge, etc. If the amount is not much, it is normal and can be observed without treatment.

5.Do not pick the nasal crust in the nasal cavity, it should fall off on its own. If you have nasal congestion, you can use furosemide nasal drops, Helen, compound mint nasal drops or go to the ENT department of the local hospital for nasal scab treatment, do not blow your nose by yourself.

6. Pay attention to whether there is clear liquid flowing out of the nostrils. If there is, the possibility of cerebrospinal fluid nasal leakage should be considered. Test with urine glucose test paper, if positive, you should consider the possibility of cerebrospinal fluid nasal leakage, promptly review and contact your doctor in charge to get treatment guidance.

7.Prevent upper respiratory tract infection (cold, etc.).

8.Taper the hormone after discharge. Prednisone should be reduced once a week, 2.5mg each time, and finally reduce the prednisone taken in the morning. If anorexia, weakness and other feelings appear, prednisone can be increased by 2.5-5mg as appropriate. 9. If the urine volume continues to exceed 3000ml/day or greater than 200ml/h after discharge, the possibility of polyuria or even uremia should be considered, and oral medication can be taken under the guidance of the doctor to reduce the urine volume. Restrict water intake appropriately and measure weight early in the morning every day. Test blood electrolytes if necessary, and if electrolyte disorder occurs, it should be corrected in hospital in time.

10. Routinely come to the hospital for re-examination 3 months and 1 year after discharge.