HYPOPHYSECTOMYHYPOPHYSECTOMY HYPOPHYSECTOMYHYPOPHYSECTOMY

OBJECTIVEOBJECTIVE Commonly performed to treat Commonly performed to treat

tumors, especially tumors, especially craniopharyngiomacraniopharyngioma tumors. tumors.

It is used to treat It is used to treat Cushing's syndromeCushing's syndrome due to due to pituitary adenomapituitary adenoma..

DEFINITIONDEFINITIONDEFINITIONDEFINITION

Hypophysectomy is the surgical Hypophysectomy is the surgical removal of the removal of the pituitary glandpituitary gland, also , also called called hypophysishypophysis. .

PITUITARY GLANDPITUITARY GLANDPITUITARY GLANDPITUITARY GLAND

INDICATIONSINDICATIONSINDICATIONSINDICATIONS CraniopharyngiomaCraniopharyngioma Cushing's syndrome Cushing's syndrome Pituitary tumorsPituitary tumors

DIAGNOSTIC TESTDIAGNOSTIC TEST

Brain MRIBrain MRI CT-ScanCT-Scan Blood TestBlood Test Plasma levels of GHPlasma levels of GH Ophthalmologic examOphthalmologic exam

BRAIN MRIBRAIN MRI

NURSING MANAGEMENTNURSING MANAGEMENTPRE OPERATIVE CAREPRE OPERATIVE CARE

Assess the patient knowledge Assess the patient knowledge and understanding of the and understanding of the planned operative procedure.planned operative procedure.

Obtain a health history and Obtain a health history and physical assessment.physical assessment.

Explain necessary post Explain necessary post operative activity restriction.operative activity restriction.

CONT…CONT…

Teach respiratory hygiene Teach respiratory hygiene procedures such as coughing, procedures such as coughing, and deep breathing exercise.and deep breathing exercise.

Administer intravenous Administer intravenous antibiotic as ordered.antibiotic as ordered.

Keep patient NBM.Keep patient NBM.

COMPLICATIONCOMPLICATIONCOMPLICATIONCOMPLICATION

Hypopituitarism. Hypopituitarism. Cerebrospinal fluid (CSF) leakage.Cerebrospinal fluid (CSF) leakage. Infection. Infection. Bleeding. Bleeding. Nasal septal perforation. Nasal septal perforation. Visual impairment. Visual impairment. Incomplete tumor removal.Incomplete tumor removal. Diabetic Insipidus Diabetic Insipidus

NURSING MANAGEMENTNURSING MANAGEMENTPOST OPERATIVE CAREPOST OPERATIVE CARE

NURSING MANAGEMENTNURSING MANAGEMENTPOST OPERATIVE CAREPOST OPERATIVE CARE

Monitor vital signs.Monitor vital signs. Provide bed rest.Provide bed rest. Assess nasal drip pad (“moustache” dressing) Assess nasal drip pad (“moustache” dressing)

frequently for blood or clear fluid.frequently for blood or clear fluid. Encourage the patient to use the straw for Encourage the patient to use the straw for

drinking any fluid.drinking any fluid. Frequent oral hygiene and a cool vaporizer Frequent oral hygiene and a cool vaporizer

mist. Avoid toothbrushing for 10 days.mist. Avoid toothbrushing for 10 days. Administer analgesic to reduce pain as Administer analgesic to reduce pain as

ordered.ordered.

Treatment Treatment ::*Treatment Hormone replacement *Treatment Hormone replacement

therapy, including glucocorticoids, therapy, including glucocorticoids, thyroid hormone, sex steroids, growth thyroid hormone, sex steroids, growth hormone and vasopressin, is usually hormone and vasopressin, is usually free of complications. Glucocorticoid free of complications. Glucocorticoid replacement require careful dose replacement require careful dose adjustments during stressful events. adjustments during stressful events.

REFERENCEREFERENCE

……THANK YOU…THANK YOU………THANK YOU…THANK YOU…

TEAM GROUPTEAM GROUP Syahidah Binti Mat YaacobSyahidah Binti Mat Yaacob Nis Fathiah Binti Che LahNis Fathiah Binti Che Lah Tg. Maria Binti Tg. YunusTg. Maria Binti Tg. Yunus Nurul Zailatul Salwa Binti AnuarNurul Zailatul Salwa Binti Anuar Masni Binti MohammedMasni Binti Mohammed Nurshuhada Binti Che HalimNurshuhada Binti Che Halim Ruzanna Binti Abd AzizRuzanna Binti Abd Aziz Nurul Bibiyatul Akmar Binti AnuarNurul Bibiyatul Akmar Binti Anuar Yusma Azaili Binti Mohd DaliYusma Azaili Binti Mohd Dali Nur Asyikin Binti Sulaiman Nur Asyikin Binti Sulaiman