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“Taking out a pituitary tumor is easy; preserving normal pituitary function is the art.” In this masterclass, Dr Raghvendra Ramdasi (Neurosurgeon & Pituitary Specialist) explains why protecting the normal pituitary gland matters for fertility, growth, hormones, and long-term quality of life—and how expert teams do it. What you’ll learn (no fluff, all technique): • Why gland preservation matters: Avoid lifelong dependence on thyroid/steroid replacement, protect fertility in young women and men, and safeguard growth in children. • Pre-op planning: Dynamic contrast MRI to localize the normal gland (crescent-shaped, hyper-enhancing, displaced to one side). Emerging AI radiomics to distinguish tumor/capsule/normal gland. • Intra-op identification: – Pseudocapsule dissection—remove tumor within its plane while respecting the boundary. – 4K endoscopic visualization—differentiate color (normal gland = golden-yellow; adenoma = grey-whitish), bleeding pattern (gland bleeds on gentle touch; tumor much less), and consistency (gland firm; tumor softer). – ICG (indocyanine green) fluorescence mapping—normal pituitary enhances more than adenoma. – Intra-operative CT/MRI (where available) to confirm residual vs. preserved tissue. • Outcomes that matter: Hormonal preservation, faster recovery, and stories like a young patient who conceived after tumor removal with gland preservation. If you or a loved one has a pituitary tumor, this video demystifies the journey—from diagnosis to endoscopic endonasal surgery, and how specialized centers prioritize oncologic control and endocrine function. ------------------------------------------------------------------------------------------------ Dr. Raghvendra Ramdasi - Neurosurgery Medical qualifications: MBBS, MS, M Ch (Neurosurgery) FAIS (Fellow of Association of Indian Surgeons) FIMSA (Fellow of International Medical Sciences Academy) FESBS (Fellow in Endoscopic transnasal skull base surgery)(Naples, Italy) Years of experience: 14 years ___________________________________________________________ Contact Info :- +918828833911 Email : contact@brainandspinesurgeries -------------------------------------------------------------------------------------------------- pituitary tumor surgery, pituitary adenoma, endoscopic endonasal surgery, skull base surgery, gland preservation, pituitary function, hypopituitarism prevention, dynamic contrast MRI, MRI pituitary crescent sign, AI radiomics pituitary, pseudocapsule dissection, 4K endoscope neurosurgery, ICG fluorescence pituitary, intraoperative MRI CT, fertility after pituitary surgery, prolactinoma, nonfunctioning adenoma, ACTH adenoma, GH adenoma, macroadenoma, microadenoma, optic chiasm compression, third nerve palsy, neurosurgeon Mumbai, endocrine outcomes #Pituitary #Neurosurgery #SkullBase #EndoscopicSurgery #PituitaryAdenoma #Endocrinology #Fertility #MRI #ICG #Radiomics #BrainTumorCare