Consensus on Postoperative Recommendations After Transsphenoidal Surgery
| Autor: | Dag Moskopp, Jens Conrad, Jürgen Honegger, Rüdiger Gerlach, Ulrich J. Knappe, Jörg Flitsch |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Transsphenoidal surgery medicine.medical_specialty Activities of daily living business.industry Endocrinology Diabetes and Metabolism medicine.medical_treatment MEDLINE 030209 endocrinology & metabolism General Medicine Work life Scuba diving 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Endocrinology medicine.anatomical_structure Internal Medicine Physical therapy Medicine Continuous positive airway pressure business human activities Nose Craniotomy |
| Zdroj: | Experimental and Clinical Endocrinology & Diabetes. 6:29-36 |
| ISSN: | 1439-3646 0947-7349 |
| DOI: | 10.1055/a-0664-7710 |
| Popis: | Background Guidelines for patient behavior following transsphenoidal surgery do not exist. To gain generally recommendations, the German pituitary working group conducted a study among pituitary surgeons to elucidate their opinions and customs of patients’ counselling. Methods Questions concerning daily activities, exertion of sports and work life were addressed. It was asked to provide the postoperative time interval after which specific activities can be resumed both after a routine or an extended approach. Results Fourteen pituitary surgeons returned the completed questionnaire. Following routine operations, washing the hair was allowed within one week, blowing the nose after 3, flying on an airplane and driving a car after one, lifting heavy weights after 4, playing wind instruments after 6, use of CPAP (continuous positive airway pressure) device after 3, permit leisure sports after 2 to 4 weeks (except for scuba diving). Competitive sports can be resumed after 6 weeks. Occupation with mental demands was considered feasible after 2 weeks, with physical labor after 4 weeks. After extended transsphenoidal surgery, the recommended time interval was roughly twice as long compared to the routine approach. Driving a car was allowed within the first 4 weeks after surgery by some pituitary surgeons, while others allow driving only after 3 months analogous to the regulations after craniotomy. The risk of scuba diving was considered high. Conclusions The data of our study and the literature, and expert opinions from related scientific fields resulted in a consensus on recommendations for patients’ conduct to minimize risks after transsphenoidal surgery. |
| Databáze: | OpenAIRE |
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