HYPOPHYSECTOMY

HYPOPHYSECTOMY
 OBJECTIVE
 Commonly performed to treat tumors,
especially craniopharyngioma tumors.

 It is used to treat Cushing's syndrome due

to pituitary adenoma.
 DEFINITION
DEFINITION
 Hypophysectomy is the surgical removal of
the pituitary gland, also called hypophysis.
PITUITARY
PITUITARY GLAND
GLAND
 INDICATIONS
INDICATIONS
 Craniopharyngioma
 Cushing's syndrome

 Pituitary tumors
 DIAGNOSTIC TEST
 Brain MRI
 CT-Scan
 Blood Test
 Plasma levels of GH
 Ophthalmologic exam
BRAIN MRI
 NURSING MANAGEMENT
PRE OPERATIVE CARE
 Assess the patient knowledge and
understanding of the planned operative
procedure.
 Obtain a health history and physical
assessment.
 Explain necessary post operative
activity restriction.
 CONT…
 Teach respiratory hygiene procedures
such as coughing, and deep breathing
exercise.
 Administer intravenous antibiotic as
ordered.
 Keep patient NBM.
 COMPLICATION
COMPLICATION
 Hypopituitarism.
 Cerebrospinal fluid (CSF) leakage.
 Infection.
 Bleeding.
 Nasal septal perforation.
 Visual impairment.
 Incomplete tumor removal.
 Diabetic Insipidus
 NURSING
NURSING MANAGEMENT
MANAGEMENT
POST
POST OPERATIVE
OPERATIVE CARE
CARE
 Monitor vital signs.
 Provide bed rest.
 Assess nasal drip pad (“moustache” dressing) frequently
for blood or clear fluid.
 Encourage the patient to use the straw for drinking any
fluid.
 Frequent oral hygiene and a cool vaporizer mist. Avoid
toothbrushing for 10 days.
 Administer analgesic to reduce pain as ordered.
 Treatment :
*Treatment Hormone replacement therapy,
including glucocorticoids, thyroid hormone,
sex steroids, growth hormone and vasopressin,
is usually free of complications.
Glucocorticoid replacement require careful
dose adjustments during stressful events.
REFERENCE
…
…THANK
THANK YOU…
YOU…
 TEAM GROUP
 Syahidah Binti Mat Yaacob
 Nis Fathiah Binti Che Lah
 Tg. Maria Binti Tg. Yunus
 Nurul Zailatul Salwa Binti Anuar
 Masni Binti Mohammed
 Nurshuhada Binti Che Halim
 Ruzanna Binti Abd Aziz
 Nurul Bibiyatul Akmar Binti Anuar
 Yusma Azaili Binti Mohd Dali
 Nur Asyikin Binti Sulaiman