Postoperative management after adrenal, pituitary and thyroid surgery
What to check and when after endocrine surgery. Steroid cover and cortisol testing after pituitary and adrenal operations, sodium and the triphasic response after transsphenoidal surgery, potassium after aldosteronoma, hypotension and hypoglycaemia after phaeochromocytoma, and calcium, PTH and thyroxine after thyroidectomy.
Tier 2Topic overview
Written with AI assistance and fact-checked against the sources below. For exam study, not clinical decisions. How notes are made
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Sources
- Pituitary Society Delphi survey: an international perspective on endocrine management of patients undergoing transsphenoidal surgery for pituitary adenomasTritos, Fazeli, McCormack et al., Pituitary 2022;25:64-73, 2022
- Consensus on diagnosis and management of Cushing's disease: a guideline updatePituitary Society (Fleseriu et al., Lancet Diabetes Endocrinol 2021;9:847-75), 2021
- Management of adrenal incidentalomas: European Society of Endocrinology clinical practice guideline in collaboration with the European Network for the Study of Adrenal TumorsESE and ENSAT (Fassnacht et al., Eur J Endocrinol 2023;189:G1-G42), 2023
- Primary aldosteronism: an Endocrine Society clinical practice guidelineEndocrine Society (Adler, Stowasser, Correa et al., J Clin Endocrinol Metab 2025;110:2453-95), 2025
- Pheochromocytoma and paraganglioma: an Endocrine Society clinical practice guidelineEndocrine Society (Lenders et al., J Clin Endocrinol Metab 2014;99:1915-42), 2014
- 2025 American Thyroid Association management guidelines for adult patients with differentiated thyroid cancerAmerican Thyroid Association (Ringel, Sosa et al., Thyroid 2025;35(8):841-985), 2025
- Best practice recommendations for the diagnosis and management of hypoparathyroidismKhan et al., Metabolism 2025;171:156335, 2025
- Guidelines for the management of glucocorticoids during the peri-operative period for patients with adrenal insufficiencyAssociation of Anaesthetists, Royal College of Physicians and Society for Endocrinology UK (Woodcock et al., Anaesthesia 2020;75:654-63), 2020
- European Society of Endocrinology and Endocrine Society joint clinical guideline: diagnosis and therapy of glucocorticoid-induced adrenal insufficiencyJournal of Clinical Endocrinology and Metabolism (Beuschlein F, et al.), 2024
- Risk factors and outcomes of postoperative neck hematomas: an analysis of 5,900 thyroidectomies performed at a cancer centerInternational Archives of Otorhinolaryngology (de Carvalho AY, et al.; 25:e421-7), 2021
- Clinical practice guideline on diagnosis and treatment of hyponatraemiaEuropean Journal of Endocrinology (Spasovski G, et al.; 170:G1-47), 2014
- Endocrinology (Therapeutic Guidelines)AU/NZTherapeutic Guidelines Ltd
- Last updated
- 14 November 2026
What changed
- 14 November 2026 Personal emails, About story and Australian-style copy