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Pituitary Surgery

Pituitary Surgery for Brain Surgery | Treatment for Brain Tumor

Brain Tumor Resection: A Modern Approach to Neurosurgical Care

Pituitary tumors, known as pituitary adenomas, are abnormal growths on the pituitary gland. While most are benign, their strategic location at the base of the brain can cause a variety of problems, including vision loss and severe hormonal imbalances. When these tumors require intervention, a precise surgical approach is essential to remove the growth while preserving the surrounding vital structures and the delicate pituitary gland itself.

In Pune, India, Dr. Jaydev Panchwagh is a highly specialized neurosurgeon with extensive experience in pituitary surgery. He is an expert in the advanced, minimally invasive Endoscopic Endonasal Approach, which is considered the gold standard for removing most pituitary tumors with minimal disruption to the patient.

What is Pituitary Surgery?

Pituitary surgery is a procedure performed to remove tumors from the pituitary gland. The most common tumors treated are pituitary adenomas, which can either produce excess hormones (functioning adenomas) or cause symptoms by compressing nearby structures, most critically the optic nerves (non-functioning adenomas).

The primary goal of pituitary surgery is to remove the tumor effectively to relieve pressure on the optic nerves and restore vision, or to correct hormonal imbalances by removing the hormone-producing cells. For most patients, surgery is the first-line treatment, offering a definitive solution.

How Does It Work?

The modern approach to pituitary surgery, championed by Dr. Jaydev Panchwagh, is a minimally invasive technique known as the Endoscopic Endonasal Approach.

  1. Preparation: The procedure is performed under general anesthesia. Using a high-definition endoscope, the surgeon accesses the pituitary gland through the nasal cavity and the sphenoid sinus (an air-filled cavity behind the nose).
  2. No External Incisions: This technique involves no external incisions on the face, as the surgeon uses the natural nasal passages as a surgical corridor. This is a major advantage for cosmetic outcomes and faster recovery.
  3. Visualization and Removal: The high-resolution camera on the endoscope provides a clear, magnified view of the pituitary gland and the tumor. The surgeon then uses specialized micro-instruments to carefully dissect and remove the tumor.
  4. Preservation: The greatest advantage of the endoscopic approach is the clear visualization it provides, allowing the surgeon to meticulously separate the tumor from the surrounding healthy pituitary tissue and the optic nerves. This is critical for preserving vision and pituitary function.
  5. Closure: Once the tumor is removed, the surgical area is packed with tissue or a biological sealant to prevent cerebrospinal fluid leaks, and the patient’s nasal passages are left to heal naturally.

Watch this Video to Know More about Pituitary Surgery​

Why Choose Dr. Jaydev Panchwagh for Pituitary Surgery?

Pituitary surgery requires a unique blend of neurosurgical skill and a mastery of endoscopic techniques. Dr. Jaydev Panchwagh in Pune, India, is a top choice for this specialized procedure because of his:

  • Pioneering Endoscopic Expertise: He is highly proficient in the Endoscopic Endonasal Approach, a technique he has mastered to provide the safest and most effective outcomes for his patients.
  • Focus on Functional Preservation: His surgical philosophy prioritizes not just tumor removal but also the preservation of vision and hormonal function, which are often the primary concerns for patients with pituitary adenomas.
  • Extensive Experience: Dr. Panchwagh has successfully treated numerous pituitary tumors, including large and complex cases that require advanced skull base surgical skills.
  • Patient-Centric Approach: He collaborates closely with a multidisciplinary team of endocrinologists and ophthalmologists to ensure a comprehensive diagnosis, treatment plan, and follow-up for every patient.

Frequently Asked Questions (FAQs) about Pituitary Surgery

With the minimally invasive endoscopic approach, the hospital stay is typically very short, often just 1-3 days.

 In many cases, if vision loss is caused by the tumor compressing the optic nerves, vision can improve, sometimes dramatically, after the pressure is relieved by surgery.

It depends on the tumor type and the success of the surgery. For hormone-producing tumors, hormone levels are monitored. If they normalize, medication may not be needed. If surgery leads to pituitary underproduction, hormone replacement therapy may be required.These changes are often done in conjunction with an endocrinologist

No, the endoscopic endonasal approach is performed entirely through the nasal passages, leaving no visible external scars on the face.

A pituitary tumor can profoundly impact your health and quality of life. With the advanced surgical expertise of Dr. Jaydev Panchwagh, you can receive a modern, minimally invasive, and effective treatment to remove the tumor and restore your well-being.