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  • Discharge Instructions

  • Neurosurgery 

    Discharge Instructions

    Transsphenoidal Hypophysectomy

    What to Expect

    During the operation, your nose was packed with sponge packings to absorb any drainage from the site of surgery. In addition, small plastic supports (called stents) were attached to the septum of your nose with a stitch. The packings and stents will be removed before you leave the hospital or shortly thereafter. The other stitches in the gum line will dissolve on their own. You may feel a numbness in your upper lip, gum or teeth. This generally improves or disappears over time.

    Almost all people who have had this type of surgery will require several weeks to fully recover. You may feel easily tired and should avoid strenuous activity until you have had a follow-up appointment with your doctor and have discussed increasing your activity level. It is important, however, to avoid prolonged bed rest, which can lead to lung problems and blood clots in the legs. Going for walks, either inside or outside, and then resting when you are tired is a good way to get the exercise you need.

    Dos and Don'ts

    • You must not blow your nose after this type of operation. Doing so could disrupt the healing process and lead to spinal fluid leaks or other problems.

    • A small amount of bloody or mucous-type drainage from the nose is expected. However, if you develop continued watery drainage you should contact us immediately.

    • You may have headache or some pain after the operation. You may be given a pain medication prescription to take home with you. If your pain is mild and you would prefer to take an over-the-counter medication you may take acetaminophen (Tylenol or Extra-Strength Tylenol) according to the package directions. Take all medications prescribed for you and do not stop taking them abruptly.

    Contact us immediately if:

    • You develop a rash, upset stomach or other problems that may be related to medication.

    • You develop high fever and a stiff neck.

    • You develop neurological problems such as slurred speech, double vision or loss of vision, weakness in your face or any arm or leg, or have a seizure (convulsion).

    • You notice swelling, redness or pain in your foot or leg. This could indicate a blood clot in the leg, a serious problem that may occur after surgery. Symptoms such as shortness of breath, severe chest pain or coughing up blood could be a sign of a blood clot moving to the lung or another serious medical problem. If you have any of these symptoms you should come the emergency room or contact us immediately.

    • Excessive thirst or urination could be a sign of a hormone problem after the surgery. You should contact your endocrinologist (hormone specialist) if these symptoms continue.

    The above symptoms are some of the most serious that may arise but do not include all potential post-operative problems. When in doubt, it is better to call and ask.

    Contact information and follow ups

    During business hours you should call your attending physician's office with any questions. For emergencies after business hours call 401-444-5611 and ask for the neurosurgical resident on call.

    Call your attending physician's office after you are discharged from the hospital to arrange for stitch/staple removal and necessary follow up appointments.

    You should also schedule a follow up appointment with your primary care physician. If you do not have a general doctor, you can call the Lifespan Heath Connection at 401-444-4800 for a referral.