INTRODUCTION Approximately 35% of cases of Conn's syndrome (primary aldosteronism) result from a solitary functioning adrenal adenoma, and these patients are best managed by adrenalectomy. Postoperative hypoaldosteronism after unilateral adrenalectomy is uncommon. CASE PRESENTATION We present a case and literature review of hypoaldosteronism after unilateral adrenalectomy for Conn's syndrome,...

PURPOSE Nephron sparing surgery is an increasingly used alternative to Robson's radical nephroadrenalectomy. The indications for adrenalectomy in patients undergoing partial nephrectomy are not clearly defined and some surgeons perform it routinely for large and/or upper pole renal tumors. We analyzed initial management and oncological outcomes of adrenal glands after open partial nephrectomy. ...

HYPOTHESIS Only selected patients require steroid replacement therapy following adrenalectomy. DESIGN Retrospective review. SETTINGS University tertiary care center and veterans' hospital. PATIENTS A total of 331 patients who underwent adrenalectomy by 1 surgeon (Q.-Y.D.) between April 1, 1993, and August 31, 2005. INTERVENTIONS Laparoscopic, open, and hand-assisted adrenalectomy. Stero...

OBJECTIVE To compare the results of laparoscopic adrenalectomy with those of open adrenalectomy in Ramathibodi Hospital. MATERIAL AND METHOD Medical charts of 41 laparoscopic and 39 open adrenalectomy patients were reviewed Baseline characteristics and outcomes of treatment were compared between these two patient groups, using univariable statistical tests and multivariable statistical proced...

The surgical approach to the adrenals has evolved substantially over the past decade with the development and refinement of techniques for performing laparoscopic adrenalectomy. At present, the majority of adrenal tumors are removed laparoscopically because minimally invasive approaches result in reduced pain, faster recovery, and fewer complications and because the rate of adrenal malignancy i...

conclusions we described successful perioperative management of a child who underwent bilateral laparoscopic cortical sparing adrenalectomy and a repeated surgery for the residual tumor removal. case presentation the child might present with a spectrum of clinical manifestation including hypertension, headache, visual disturbances, and behavioral problems. a meticulous preoperative preparation ...

the case was an 18-year-old female with progressive crampy abdominal pain, nausea and vomiting, initiated from 4 months ago, who had 4-5 kg weight loss in this period. in physical examination, an ill-defined mass with mild tenderness in periumblical region palpation was detected. in upper gi endoscopy, bulging folds with a necrotic mass in d2- d3 were detected. in small bowel series study, cut ...

Angiotensin-converting enzyme inhibitors and aldosterone receptor antagonists ameliorate malignant nephrosclerotic lesions of thrombotic microangiopathy in salt-loaded, stroke-prone, spontaneously hypertensive rats (SHRSP) without controlling hypertension. This suggests that angiotensin II (Ang II) and/or aldosterone (ALDO) plays a critical role in renal injury in this model. For evaluating the...

A 53-yr-old woman presented with abdominal pain. Ultrasonography, computed tomography, and an endocrinologic work-up revealed a 4-cm nonfunctional left adrenal mass. A TriPort laparoscopic adrenalectomy was performed. The TriPort was inserted through a 3-cm subcostal incision. Using 5-mm instruments, a left adrenalectomy was performed. The specimen was dissected (harmonic scalpel) and extracted...

Adrenalectomy is known to accelerate both neurogenesis and cell death of granule cells located in the suprapyramidal blade of the rat dentate gyrus. Three days after adrenalectomy, some granule cells have already died by apoptosis while newly formed cells are not yet incorporated in the cell layer, resulting in a temporary loss of granule cells. Concomitantly, the field response to stimulation ...