Echocardiographic improvements following transsphenoidal surgery for acromegaly

Bilateral thalamic infarction following transsphenoidal surgery.

The transsphenoidal approach is widely employed for access to surgical lesions of the sella. Following the introduction of the operating microscope to the procedure by Hardy,1 it has become a safe and well-established operation, as demonstrated by the low morbidity and mortality in several large case series over the past four decades.2-6 Nevertheless, rare but serious complications, most notabl...

Causes for 30-Day Readmission following Transsphenoidal Surgery.

OBJECTIVE The Affordable Care Act Readmissions Reduction Program introduced reimbursement policy changes resulting in penalties for hospitals with higher-than-average readmission rates among several categories, including elective surgical cases. We examined the rate of complications resulting in 30-day readmission following endoscopic transsphenoidal surgery. STUDY DESIGN Case series with cha...

Transsphenoidal surgery for Cushing's disease: defining cure and following outcome.

Ideally, selective and complete removal of a corticotroph adenoma should cure Cushing's disease and leave no other pituitary dysfunction. Furthermore, endocrinologists should be in a position to inform patients with Cushing's disease whether they are cured following transsphenoidal surgery. As with diagnosis of this condition, however, definition of cure continues to be debated. Such definition...

Acromegaly and transsphenoidal hypophysectomy: a case report.

Anterior pituitary tumors account for nearly 18% of all intracranial tumors. Pituitary adenomas that cause hypersecretion of growth hormone lead to acromegaly in adults. Patients with acromegaly may present unique problems for the anesthetist because of the overgrowth of airway soft tissues; a difficult mask ventilation and challenging intubation can be expected. A careful preoperative assessme...

Transsphenoidal Surgery for Acromegaly, Assessment of Extent of Resection and Post-operative Biochemical Remission