PITUITARY TUMOR SURGERY
Dr. Hrayr Shahinian: Endoscopic pituitary surgery is performed by  inserting a 2.7-millimeter endoscope through the right nostril, navigating  through the intranasal structures, all the way to the brain. The dura, the  covering of the brain, is incised, and the tumor is gradually taken out. Once  the tumor is completely removed, a piece of abdominal fat graft is used to seal  the intracranial contents from the contents of the sinuses. A small amount of  natural fibrin glue is used to seal the fat graft in place. Pre-operative and  post-operative MRIs show a complete resection of the tumor. The patient is  monitored overnight and discharged home within 24 hours.