Instructional Session: ISW22

Wednesday 4 July 2018, 16.45-17.45

Managing the master gland – multidisciplinary pituitary service

Natarajan Saravanappa, Simon Shaw, University Hospitals of North Midlands

Pituitary lesions are generally managed by a team of experts with experience in managing pituitary disease. The majority of pituitary tumours are benign and are treated conservatively. Trans-sphenoidal endoscopic surgery has revolutionised the surgical management of pituitary tumours. This surgical technique has been in practice in our unit for more than two decades. Over the years, Otorhinolaryngology, Neurosurgery and endocrine teams have developed a comprehensive pituitary service in our hospital. Technological advances including high definition monitors, merging of different scans, high speed drills, and computer aided neuronavigation systems have helped to improve the precision of surgery.

The Multidisciplinary team at the University Hospitals of North Midlands has vast experience in treating patients with pituitary problems. Our team include endocrinologists, neurosurgeon, ENT surgeon, Neuroradiologist, neuro-ophthalmologist, and endocrine nurse specialist. Comprehensive management of pituitary tumours starts from the time patient is referred to the pituitary service. In this instructional course we would like to highlight and discuss how to set up a multidisciplinary pituitary service which includes pituitary clinic, pituitary multidisciplinary team meetings to discuss management of patients, video demonstration of the technique of endoscopic trans-sphenoidal removal of pituitary tumours including theatre set up, post-operative management and long-term surveillance of patients. Multidisciplinary management of pituitary lesions improve the outcome of pituitary related problems by coordinated patient care. This course would be useful for senior trainees and consultants in ENT, neurosurgery, neuroradiology and endocrinology who are keen to set up and develop comprehensive pituitary service.