By Arthur Schwartz, Demetrius Pertsemlidis, William B. Inabnet III, Michel Gagner
Containing color figures whcih depict minimally-invasive equipment, this reference illustrates state of the art innovations and smooth applied sciences in endocrine surgical administration, encompassing conventional and rising suggestions in body structure, molecular endocrinology, imaging and surgical procedure to anchor and help execs in all components of this burgeoning self-discipline.
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Extra info for Endocrine surgery
Improved diagnostic accuracy of inferior petrosal sinus sampling over imaging for localizing pituitary pathology in patients with Cushing’s disease. J Clin Endocrinol Metab 1998; 83:2291– 2295. Frank SJ, Gesundheit N, Doppman JL, Miller DL, Merriam GR, Oldﬁeld EH, Weintraub BD. Preoperative lateralization of pituitary microadenomas by petrosal sinus sampling: utility in two patients with 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. non-ACTH-secreting tumors. Am J Med 1989; 87:679– 682. Doppman JL, Krudy AG, Girton ME, Oldﬁeld EH.
Minimally invasive adrenalectomies began when the laparoscopic adrenalectomy was ﬁrst described in 1992, and since then it has become the gold standard for the removal of benign adrenal tumors (4–6). The main advantages of laparoscopic adrenalectomy over routine open adrenalectomy include shorter operative times for unilateral adrenalectomies and less postoperative pain, fewer perioperative and postoperative complications, and quicker recovery times and return to work for patients receiving either unilateral or bilateral adrenalectomies (4).
These, as well as several other etiologies, must be considered prior to a detailed investigation of a patient’s pituitary gland (16). 2 Signs and Symptoms Prolactin-secreting tumors represent 40% of all pituitary adenomas and are typically more symptomatic in women. Hyperprolactinemia in women leads to amenorrhea, galactorrhea, and osteoporosis, while in men it may result in diminished sexual drive and impotence or it may be asymptomatic. Menstrual disturbances are present in 93% of premenopausal women with prolactinomas.
Endocrine surgery by Arthur Schwartz, Demetrius Pertsemlidis, William B. Inabnet III, Michel Gagner