Peri-operative Lumbar Drains for Trans-Sphenoidal resection of Pituitary Adenomas

Ummey Hani, Aga Khan University
Dr Saqib Kamran Bakhshi, Aga Khan University
Muhammad Shahzad Shamim, Aga Khan University


Trans-sphenoidal approach for resection of pituitary adenomas is a safe and common neurosurgical procedure. It can be done both through microscopic or endoscopic methods, and both methods can be facilitated by a perioperative lumbar drain insertion, that in theory improves tumour resection and reduces risk of post-operative cerebrospinal fluid leak. Herein we have reviewed the literature to find out the evidence in support of perioperative lumbar drain insertion for trans-sphenoidal resections.