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. 2020 Dec:22:100820.
doi: 10.1016/j.inat.2020.100820. Epub 2020 Jul 10.

Safety management in urgent endonasal trans-sphenoidal surgery for pituitary adenoma during the COVID-19 pandemic in Japan - A case report

Takuya Akai  1 , Kunitaka Maruyama  1 , Hiromasa Takakura  2 , Yoshihiro Yamamoto  3 , Yoshitomo Morinaga  4 , Satoshi Kuroda  1
Affiliations

Safety management in urgent endonasal trans-sphenoidal surgery for pituitary adenoma during the COVID-19 pandemic in Japan - A case report

Takuya Akai et al. Interdiscip Neurosurg. 2020 Dec.

Abstract

We report a 72-year-old woman who required urgent endonasal trans-sphenoidal surgery (eTSS) because of progressive visual field disturbance due to pituitary adenoma, in whom we conducted reverse-transcriptase-polymerase-chain-reaction (RT-PCR) for COVID-19 and chest CT before eTSS. We took care of her by following the rule for suspected infection patient, and safely completed her treatment without medical staff infection. Under COVID-19 pandemic state, essentially careful management including RT-PCR test and chest CT should be taken for the high infection risk surgeries to avoid the outbreak through the hospital. And the cost of RT-PCR test for the patients should be covered by the government budget.

Keywords: COVID-19; Chest CT; Insurance; Pandemic; RT-PCR; Trans-sphenoidal surgery.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
T2-weighted MR image, coronal (a) and sagittal (b), demonstrated mixed intensity mass, compressing optic nerves upwards, in the sella and supra-sella portion.
Fig. 2
Fig. 2
Management course eTSS: endoscopic endonasal trans-sphenoidal surgery PCR: polymerase chain reaction.
See this image and copyright information in PMC

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