Senior Consultant Neurosurgeon & Endoscopic Spine Surgeon · Apollo Hospitals, Secunderabad 📱 93907 52645

Endoscopic Pituitary Surgery: When to Operate?

Understanding Non-Functioning Pituitary Adenomas

Non-functioning pituitary adenomas are tumors that do not secrete excess hormones. The decision to operate on these tumors depends on several factors, including size and proximity to critical structures. Regular monitoring is crucial for tumors under 10 mm that aren’t affecting nearby structures.

When Surgery Becomes Necessary

For adenomas over 10 mm, especially those contacting the optic chiasm, surgery is often recommended. Delaying surgery in these cases could lead to complications. Dr. Kalyan Bommakanti, along with ENT specialist Dr. Vyshnavi Bommakanti, performs minimally invasive endoscopic transnasal surgery to safely remove these tumors.

The Endoscopic Transnasal Approach

This advanced technique involves removing the tumor through the nasal passage, avoiding the need for a skull opening. Utilizing a 4K camera and Joimax HD endoscope, this approach allows for precise removal with minimal discomfort. Most patients can walk the next day and are discharged within 2 to 3 days.

Criteria for Surgical Intervention

The decision to operate is based on three main criteria: the size of the tumor, hormone status, and whether the tumor is impacting critical structures. Dr. Kalyan Bommakanti, with over 7,500 surgeries to his credit, carefully evaluates each case to determine the best course of action.

Expert Care in Hyderabad

At Apollo Hospitals, Secunderabad, patients receive expert care from Dr. Kalyan Bommakanti, a leading neurosurgeon specializing in endoscopic spine and skull-base surgeries. His expertise ensures that patients receive the most effective treatment for their condition.

Frequently Asked Questions

Can a pituitary adenoma be treated without surgery?

Small, non-functioning pituitary adenomas that aren’t affecting nearby structures can often be monitored with regular MRI scans. Surgery is considered if the tumor grows or starts impacting critical areas.

Is endoscopic transnasal pituitary surgery safe?

Yes, endoscopic transnasal surgery is a safe and minimally invasive procedure. It allows for tumor removal through the nose, reducing recovery time and avoiding a skull opening.

How long is the recovery after pituitary surgery?

Most patients can walk the day after endoscopic transnasal pituitary surgery and are typically discharged within 2 to 3 days. Recovery times can vary based on individual health factors.

What are the risks of delaying pituitary adenoma surgery?

Delaying surgery for a pituitary adenoma that is impacting critical structures like the optic chiasm can lead to vision problems and other complications. Timely intervention is crucial.

Who is the best pituitary surgeon in Hyderabad?

Dr. Kalyan Bommakanti at Apollo Hospitals, Secunderabad, is renowned for his expertise in endoscopic transnasal pituitary surgeries, having performed over 7,500 successful procedures.

Read more: the full Pituitary Adenoma patient guide.

📱 WhatsApp Dr. Kalyan’s team on 85200 03683 for an appointment.

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