Does endoscopic transsphenoidal surgery require hair shaving

summary

Recently, I felt uncomfortable. I went to the hospital for an examination. The doctor suggested that endoscopic transsphenoidal surgery should be performed. I was still worried because I had to pass the head. I consulted the doctor about the details of the surgery. Now let me talk about whether endoscopic transsphenoidal surgery needs hair shaving.

Does endoscopic transsphenoidal surgery require hair shaving

First, endoscopic or endoscope assisted microsurgery uses the nasal passage to expose the sellar floor without stripping the nasal septal mucosa; postoperative discomfort is reduced, hospitalization days are shortened, and it is easy to distinguish the boundary between tumor and normal tissue in the case of good endoscopic brightness and wide viewing angle; it is a minimally invasive, safe and effective surgical method, and it is recommended that patients shave their hair for the convenience of operation.

Second, endoscopic transsphenoidal pituitary adenoma resection is suitable for small and medium-sized intrasellar tumors and recurrence after transsphenoidal microsurgery. Disinfect the nostril, nasal cavity and upper lip, and fill the oropharynx with sterile gauze. The cotton piece soaked with phenylephrine was put into the nasal cavity for a moment to reduce the congestion of nasal mucosa. A hard endoscope with a diameter of 4-6 mm is placed in the right or left nasal cavity (the larger one). Usually a 0 ° or 30 ° endoscope is used to detect the opening of sphenoid sinus.

Third, transcranial approach is needed, which takes a long time and has many complications. Although major hospitals have successfully carried out minimally invasive transsphenoidal surgery after improvement, this surgical method still has some limitations, such as limited exposure, narrow and deep surgical field of vision, inability to remove tumors invading the cavernous sinus, the bottom of frontal lobe, the bottom of temporal lobe and clivus, and unsatisfactory treatment effect for invasive pituitary adenomas.

matters needing attention

When patients do surgery, they should know more about the operation process. For endoscopic transsphenoidal surgery, the operation is more complex, and postoperative complications are likely to occur. Therefore, patients need to be cautious in treatment. After all, any operation is risky.