Laparoscopic Adrenalectomy

WHAT YOU SHOULD KNOW:

Laparoscopic adrenalectomy is surgery to remove all or part of your adrenal gland. It is usually done when a small tumor is found on the gland. Small incisions are made in your abdomen. A laparoscope is inserted through the incisions. A laparoscope is a long metal tube with a tiny video camera and a light on the end. The camera displays pictures of your adrenal glands on a monitor. The surgery is performed through the incisions made for the laparoscope. The monitor is used to guide the surgery tools to the right place.

AFTER YOU LEAVE:

Medicines:

  • Pain medicine: You may need medicine to take away or decrease pain.

    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.

    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.

    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your healthcare provider. Do not stop taking your medicine unless directed by your healthcare provider. Never save antibiotics or take leftover antibiotics that were given to you for another illness.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your primary healthcare provider or endocrinologist as directed:

Your primary healthcare provider will remove your stitches. You may also need blood tests to check your adrenal hormone levels. Write down your questions so you remember to ask them during your visits.

How to bathe with stitches:

Follow your primary healthcare provider's instructions on when you can bathe. Gently wash the part of your body that has the stitches. Do not rub on the stitches to dry your skin. Pat the area gently with a clean towel. When the area is dry, put on a clean, new bandage as directed.

Contact your primary healthcare provider or endocrinologist if:

  • You have a fever.

  • You have chills, a cough, or feel weak and achy.

  • You have nausea or are vomiting.

  • Your skin is itchy, swollen, or has a rash.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • Blood soaks through your bandage.

  • You feel full and cannot burp, vomit, or have a bowel movement.

  • You have pain in your abdomen or shoulder area that does not go away or gets worse.

  • You have pus or a foul odor coming from your incision.

  • You suddenly feel lightheaded and have trouble breathing.

  • You have chest pain. You may have more pain when you take a deep breath or cough. You may cough up blood.

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

  • The symptoms you had surgery for become worse or come back.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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