Adrenalectomy is the removal of one or both adrenal glands. There is one adrenal gland on top of each kidney. The adrenal glands make several hormones, including cortisol, aldosterone, and sex steroids. The adrenal glands also make adrenaline and noradrenaline in small amounts.
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Your adrenal gland may be removed if you have any of the following:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Factors that may increase the risk of complications include:
Your doctor will likely do some or all of the following:
Let your doctor know which medications you are taking. You may be asked to stop taking or adjust the dose of certain medications.
In the days leading up to your procedure:
Your doctors may need to admit you to the hospital before your planned procedure if your blood pressure has not been well-controlled with medication. This will allow more aggressive treatment to stabilize your blood pressure. It will also ensure that you have enough fluid in your body to prevent blood pressure problems after the surgery is done.
General anesthesia will be used. You will be asleep.
You will likely be given IV fluids, antibiotics, and medications that depend on the condition that is being treated.
Large masses are usually removed from the front of your abdomen. This is done so that the mass can be easily removed. The rest of your abdomen can also be examined.
An incision will be made just under your rib cage or in your abdomen. The adrenal gland will be carefully separated from the kidney. The gland will then be removed through the incision. The incision will be closed with either stitches or staples. It will be covered with a sterile dressing.
The doctor may choose to place a tiny, flexible tube into the area where the gland was removed. This tube will drain any fluids that may build up after surgery. It will be removed within 1 week after your operation.
The adrenal gland(s) will be sent to a lab to be examined. You will be sent to a recovery room. There, you will be monitored for any reactions to the surgery or anesthesia.
1½ hours-3½ hours
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
The staff will monitor your breathing, pulse, and temperature. You may also need:
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chance of infection such as:
Recovery time may be as long as 4-6 weeks. To help ensure a smooth recovery:
Call your doctor if any of these occur:
If you think you have an emergency, call for emergency medical services right away.
Urology Care Foundation
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Urological Association
The Kidney Foundation of Canada
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Last reviewed March 2018 by EBSCO Medical Review Board Marcin Chwistek, MD Last Updated: 3/18/2013