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Historical movements in transsphenoidal surgery.

C D Gandhi1, K D Post

  • 1Department of Neurosurgery, The Mount Sinai School of Medicine, New York, New York 10029-6574, USA. gandhc01@doc.mssm.edu

Neurosurgical Focus
|March 8, 2006
PubMed
Summary

Modern transsphenoidal surgery evolved through significant advancements over the last century. This review highlights key historical transitions and recent innovations that shaped current pituitary surgical techniques.

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Area of Science:

  • Neurosurgery
  • Surgical History

Background:

  • Transsphenoidal surgery has evolved significantly over the past century.
  • Understanding its history reveals the contributions of pioneers and the innovative spirit in neurosurgery.

Observation:

  • Early historical events in transsphenoidal surgery are well-documented.
  • Recent advancements include the surgical microscope, fluoroscopy, endoscopy, intraoperative neuroimaging, frameless image guidance, and radioimmunoassay.

Findings:

  • The development of each innovation was driven by specific surgeon needs.
  • A comprehensive view of modern transsphenoidal surgery requires understanding both early history and recent technological progress.

Implications:

  • Appreciating the historical development enhances the understanding of modern pituitary surgical techniques.

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  • The continuous innovation in transsphenoidal surgery underscores its dynamic nature and ongoing evolution.