Laparoscopic Adrenalectomy

Laparoscopic Adrenalectomy

What is Laparoscopic Adrenalectomy (Adrenal Gland Removal)?

The adrenal glands are two small organs located at the top of each kidney. They are triangular in shape and about the size of a thumb. These glands – also known as endocrine glands – secrete hormones involved in control of blood pressure, chemical levels in the blood, water use in the body, glucose usage and the “fight or flight” reaction during times of stress.

What problems occur in the adrenal glands?

Adrenal gland diseases are relatively rare. The most common reason for adrenal gland removal is excess hormone production by a tumor located within the adrenal. Most tumors are small, benign growths that usually can be removed with laparoscopic techniques. Adrenal gland removal also may be needed for some tumors that don’t produce excess hormones, such as very large tumors or tumors suspected of being cancerous.

What are symptoms of adrenal gland problems?

Excess hormone production in the adrenal glands may produce a variety of symptoms. Adrenal tumors associated with excess hormone production include:

Pheochromocytomas : These tumors produce an excess of hormones that can cause very high blood pressure and spells characterized by severe headaches, excess sweating, anxiety, palpitations and rapid heart rate.

Aldosterone-producing tumors : These cause high blood pressure and low serum (blood) potassium levels. The result may be symptoms of weakness, fatigue and frequent urination.

Cortisol-producing tumors : These cause Cushing’s syndrome characterized by obesity (especially of the face and trunk), high blood sugar, high blood pressure, menstrual irregularities, fragile skin and prominent stretch marks. However, most cases of Cushing’s syndrome are caused by small pituitary tumors and are not treated by adrenal gland removal. Overall, adrenal tumors account for about 20 percent of cases of Cushing’s syndrome.

What are the Inguinal Hernia Complications?

Obstruction & strangulation of intestines

What is the treatment of Inguinal Hernia & period of recovery?

Inguinal Hernia Surgery is the only treatment available & there are two types of Inguinal Hernia surgical procedures
Open Meshplasty
Laparoscopic Meshplasty
Recovery time is 3-4 days after laparoscopic surgery and about 2 weeks after open surgery.

What is laparoscopic adrenalectomy?

In the past, open surgery with a six- to 12-inch incision in the abdomen, flank or back was needed to remove an adrenal gland tumor. Today, laparoscopic removal of the adrenal gland (known as “laparoscopic adrenalectomy”) is possible with the surgeon making three or four ¼- to ½ -inch incisions. The surgeon first places a laparoscope – a scope with a light and camera – through one of the incisions. This allows the surgeon to view the anatomy. The surgeon then performs the operation working with long instruments placed through small tubes in the other incisions.