The value of intra-operative MRI in trans-sphenoidal pituitary surgery

Management of intra-operative cerebrospinal fluid leak following endoscopic trans-sphenoidal pituitary surgery.

OBJECTIVE Cerebrospinal fluid leakage is the most common complication of endoscopic trans-sphenoidal pituitary surgery. However, there is no uniformly accepted way of managing this complication when it occurs intra-operatively. This paper describes a quick, simple technique, involving layered fibrin glue and gelatin sponge, which does not compromise post-operative patient follow up. METHOD Re...

Intra-operative MR guidance during trans-sphenoidal pituitary resection: preliminary results.

The use of intra-operative MR image guidance has the potential to improve the precision, extent, and safety of trans-sphenoidal pituitary resections. The trans-sphenoidal approach to pituitary surgery has been performed for some time (1--3). Until now these surgeries have relied on direct visualization without the aid of image guidance. An open-bore configuration 0.5T SIGNA SP MR system (GE Med...

The History of Trans-sphenoidal Surgery for Pituitary Tumours

Pituitary Abscess: a Report of Two Cases

Background and Importance: Abscess of the hypophysis or pituitary adenoma is a very rare entity, and its preoperative diagnosis could be challenging. The clinical presentation is less specific, and despite the recent advancement in imaging, diagnosis before surgery is still difficult. Case Presentation: We reported two cases of pituitary abscesses in patients aged 38 and 42 years. The first ...

Endoscopic versus microscopic trans-sphenoidal pituitary surgery: a systematic review and meta-analysis.

BACKGROUND Endoscopic trans-sphenoidal surgery has been increasingly replacing microscopic surgery as the state of the art trans-sphenoidal approach. OBJECTIVE OF REVIEW To assess the efficacy and safety of pure endoscopic approach in comparison with microscopic approach in pituitary surgery. TYPE OF REVIEW Literature review and meta-analysis. SEARCH STRATEGY Systematic literature searche...