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Updated: Mar 30, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
[NURSING CARE FOR A PATIENT UNDERGONE ENDONASAL ENDOSCOPIC APPROACH PITUITARY SURGERY]
Abstract:
The pituitary gland is an endocrine gland that releases different hormones responsible for controlling the production of hormones in other glands, and maintaining the body's homeostasis. This tiny gland is located in a bone cavity known as the sellaturcica. Anomalous growth of some cells produces pituitary adenomas, which represent between 10 and 15% of intracranial tumors. In the majority of cases, the cause is unknown, but they are usually benign tumors with a slow growth rate. Due to the wide range of functions of the pituitary gland, it can present a wide variety of symptoms which tend to present once the adenoma has reached a certain size. The most commonly used currently access to the pituitary gland is the transphenoidal endoscopic approach. We present here the case of a 28 year old man diagnosed with a non-functioning pituitary macroadenoma, describing the health education, monitoring and emotional support provided during his hospital stay and the recommendations made on his discharge from hospital. It is important to emphasise the role of nursing in order to avoid complications and ensure that care is adapted to the needs of the individual at all times.
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