Adrenal Disorders, Surgical Approaches and Postoperative complications

Authors

  • Safa M Al- Obaidi Department of Surgery, College of Medicine, University of Baghdad
  • Hadi M Al-Aubaidi Department of Surgery, College of Medicine, University of Baghdad
  • Salem A Al- sarraf Department of Surgery, College of Medicine, University of Baghdad
  • Sarmad Al-gilani Medical City Teaching Hospital, Baghdad

DOI:

https://doi.org/10.32007/jfacmedbagdad.4841448

Keywords:

Adrenal Disorders, Surgical approach, Postoperative complications

Abstract

Backgraound: Adrenal disorders in surgical practice are presented either as hyperfunctional disorders or non functional disorders (incidentalomas). Functionally, medullary tumors (pheochromocytoma) result in excess secretion of catecholamines(l), on the other hand, functioning adrenocortical tumors could secrete excess of cortisol (Cushing syndrome), aldosterone (Conn's syndrome) or sex hormones (virilizing syndromes). (2
The aim of our study is to identify and to show our experience in the surgical approach and postoperative complications of adrenal disorders.
Patients & methods: This is a prospective study of 20 cases diagnosed as having adrenal disorders, admitted and evaluated in Baghdad Teaching Hospital-Medical City from
January 2002 to December 2004. The data collected including age, gender, types of  clinical adrenal disorders, surgical approaches and postoperative complications.
Result: Surgical excision was performed in 19 cases, eleven through anterior transabdominal approach (11/20, 55%), and eight through thoracoabdominal approach (8/20, 40%). A better
outcome was recorded in the thoracoabdominal approach. The most common encountered surgical morbidity was hypertension (3/19, 15.8%) and hypocalcemia (3/19, 15.8%).
Conclusion: Thoracoabdominal approach has better outcome especially in excising right adrenal tumor but transabdominal approach is preferable in excising a bilateral adrenal
gland.

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Published

02.01.2007

How to Cite

1.
Al- Obaidi SM, Al-Aubaidi HM, Al- sarraf SA, Al-gilani S. Adrenal Disorders, Surgical Approaches and Postoperative complications. J Fac Med Baghdad [Internet]. 2007 Jan. 2 [cited 2024 Nov. 13];48(4):353-6. Available from: https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1448

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