german_pituitary_working_group [Neurosurgery Wiki]

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[[Guideline]]s for patient behavior following [[transsphenoidal surgery]] do not exist. To gain generally [[recommendation]]s, the [[German pituitary working group]] conducted a [[study]] among [[pituitary]] surgeons to elucidate their [[opinion]]s and customs of patients' counselling.

[[Question]]s concerning daily activities, exertion of [[sport]]s and work life were addressed. It was asked to provide the postoperative time interval after which specific activities can be resumed both after a routine or an extended [[approach]].

Fourteen [[pituitary]] [[surgeon]]s returned the completed [[questionnaire]]. Following routine operations, washing the [[hair]] was allowed within one week, blowing the nose after 3, flying on an airplane and driving a car after one, lifting heavy weights after 4, playing wind instruments after 6, use of CPAP (continuous positive airway pressure) device after 3, permit leisure sports after 2 to 4 weeks (except for scuba diving). Competitive sports can be resumed after 6 weeks. Occupation with mental demands was considered feasible after 2 weeks, with physical labor after 4 weeks. After extended transsphenoidal surgery, the recommended time interval was roughly twice as long compared to the routine approach. Driving a car was allowed within the first 4 weeks after surgery by some pituitary surgeons, while others allow driving only after 3 months analogous to the regulations after craniotomy. The risk of scuba diving was considered high.

The data of our study and the literature, and expert opinions from related scientific fields resulted in a consensus on recommendations for patients' conduct to minimize risks after transsphenoidal surgery
((Knappe UJ, Moskopp D, Gerlach R, Conrad J, Flitsch J, Honegger JB. Consensus
on Postoperative Recommendations After Transsphenoidal Surgery. Exp Clin
Endocrinol Diabetes. 2018 Aug 21. doi: 10.1055/a-0664-7710. [Epub ahead of print]
PubMed PMID: 30130806.
)).