Endoscopic Trans Nasal Trans Sphenoidal Approach for pituitary tumor Treatment in India
About Endoscopic Trans Nasal Trans Sphenoidal Approach for pituitary tumor
Key Highlights
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Minimally Invasive: No external incisions or craniotomy required; access is through the natural nasal passage.Reduced Trauma: Minimizes disruption to critical brain structures, leading to less post-operative pain.Enhanced Visualization: High-definition endoscopes provide superior, magnified views of the surgical area for precise tumor removal.listrongShorter Hospital Stay:/strong Typically requires only 1-2 days in the hospital post-surgery./lilistrongFaster Recovery:/strong Patients often return to normal activities much quicker than with traditional surgery./lilistrongExcellent Cosmetic Outcome:/strong No visible facial scars, as the procedure is performed entirely through the nostrils./li/ul
Who is this surgery for?
- Pituitary adenomas (functioning or non-functioning) causing hormonal imbalances (e.g., Cushing's disease, acromegaly).
- Tumors causing visual field defects or loss (e.g., bitemporal hemianopia) by compressing the optic chiasm.
- Pituitary apoplexy (sudden bleeding into a tumor) causing severe headaches or vision loss.
- Large tumors (macroadenomas) causing symptoms like headaches or pressure effects.
- Recurrent or residual pituitary tumors after previous surgery.
- Tumors that continue to grow despite medical therapy.
- Need for a tissue diagnosis when the nature of the pituitary lesion is uncertain.
How to prepare
- Comprehensive Evaluation: Detailed MRI and CT scans to map the tumor's size, location, and relationship to critical structures.
- Endocrine Assessment: Complete hormonal blood work to assess pituitary function before and to guide replacement therapy after surgery.
- Visual Field Testing: A formal ophthalmology exam to document any pre-existing vision deficits.
- Pre-operative Counseling: Detailed discussion with the neurosurgeon and anesthesiologist about the procedure, risks, and expectations.
- Medication Review: Instructions on which medications to stop (e.g., blood thinners) and which to continue before surgery.
- Nasal Preparation: May include nasal washes or antibiotic ointments to reduce bacterial load.
- Fasting: No food or drink for 6-8 hours before the scheduled surgery time.
Risks & possible complications
- Cerebrospinal Fluid (CSF) Leak: The most common specific complication, which may require repair or lumbar drainage.
- Diabetes Insipidus: Temporary or permanent imbalance in water regulation, causing excessive thirst and urination.
- New Hormonal Deficiencies: The pituitary gland's normal function may be affected, requiring lifelong hormone replacement.
- Infection: Risk of meningitis or sinusitis.
- Bleeding: Risk of hemorrhage in the surgical bed.
- Vision Changes: Rare risk of worsening or new visual deficits.
- Nasal Complications: Including crusting, loss of smell, septal perforation, or sinus issues.
- Rare Major Risks: Injury to internal carotid arteries or cranial nerves, stroke, or death (extremely rare).
Recovery & hospital stay
- Immediate Post-Op: Monitoring in a recovery area, often with nasal packing that is removed after 1-2 days.
- Hospital Stay: Typically 1-2 days for observation, pain management, and monitoring for CSF leak or diabetes insipidus.
- Nasal Care: Instructions for saline nasal sprays or irrigations to promote healing and reduce crusting for several weeks.
- Activity Restrictions: Avoid strenuous activity, heavy lifting, and bending over for 2-4 weeks. No blowing the nose forcefully.
- Follow-up Appointments: Crucial for wound check, removal of any residual packing, and assessment of hormonal status.
- Long-term Monitoring: Repeat MRI scans and endocrine testing are scheduled to check for tumor recurrence and manage hormone levels.
- Symptom Watch: Patients are advised to report severe headaches, clear nasal drainage (possible CSF leak), fever, or vision changes immediately.
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Typical hospital stay:
1-2 days
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Expected recovery time:
2-4 weeks for normal activities; 6-8 weeks for full recovery
Frequently Asked Questions
If you are considering endoscopic trans nasal trans sphenoidal approach for pituitary tumor in India, these questions and answers can help you make a confident, informed decision.
Popular choices for endoscopic trans nasal trans sphenoidal approach for pituitary tumor in India include Medanta The Medicity, Kamineni Hospital LB Nagar, Cytecare Hospital, Miot Hospital Chennai, Nanavati Max Hospital, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endoscopic trans nasal trans sphenoidal approach for pituitary tumor. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for endoscopic trans nasal trans sphenoidal approach for pituitary tumor compare across other countries where we have data.
Top hospitals for Endoscopic Trans Nasal Trans Sphenoidal Approach for pituitary tumor in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing endoscopic trans nasal trans sphenoidal approach for pituitary tumor.
Bangalore, India
48 Doctors
At my age, you worry about...
At my age, you worry about being a bother. Dr. Narayanamurthy never made me feel that way. He explained my medication changes slowly, and his manner was very calming. The clinic at MGM was busy, but he took his time.
Neurosurgeons for Endoscopic Trans Nasal Trans Sphenoidal Approach for pituitary tumor
Explore experienced neurosurgeons who regularly perform endoscopic trans nasal trans sphenoidal approach for pituitary tumor and provide pre- and post-operative care in India.
- 19 Years Experience
- Neurosurgeon
Miot Hospital Chennai
- 23 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur
- 12 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield
- 30 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road
- 18 Years Experience
- Neurosurgeon
Manipal Hospital Patiala
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Patiala
- 18 Years Experience
- Neurosurgeon
Manipal Hospital Mysore
- 16 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada