What do I need to know about this procedure?

This procedure is where a tumor is removed in or on the adrenal gland.

My anaesthetic

This procedure may require anaesthetic.

What are the risks of this specific procedure?

There are risks and complications with this procedure.
They include but are not limited to the following:

General risks:

  • Infection can occur, requiring antibiotics and further treatment.
  • Bleeding could occur and may require a return to the operating room. Bleeding is more common if you have been taking blood thinning drugs such as Warfarin, Asprin, Clopidogrel (Plavix or Iscover) or Dipyridamole (Persantin or Asasantin).
  • Small areas of the lung can collapse, increasing the risk of chest infection. This may need antibiotics and physiotherapy.
  • Increased risk in obese people of wound infection, chest infection, heart and lung complications, and thrombosis.
  • Heart attack or stroke could occur due to the strain on the heart.
  • Blood clot in the leg (DVT) causing pain and swelling. In rare cases, part of the clot may break off and go to the lungs.
  • Death as a result of this procedure is possible.

Specific risks:

  • Depending on the type of lump is found, profound changes may occur with blood pressure during the operation, which may cause complications with the heart or the circulation to the brain.
  • Major blood vessels around the tumor may be damaged. This could cause profuse bleeding during or after the operation. This may require further surgery and a blood transfusion.
  • Damage of the bowel may occur which may cause leakage of bowel fluid. This may require further surgery.
  • Especially in a male there may be difficulty passing urine and a tube (catheter) may need to be inserted into the bladder until the bladder is able to empty normally.
  • Infections such as pus collections can occur in the abdominal cavity. This may need surgical drainage.
  • The bowel may become paralyzed or blocked after surgery. This may cause a buildup of fluid in the bowel resulting in bloating of the abdomen and vomiting. Further treatment may be necessary.
  • A weakness can occur in the wound with complete or incomplete, bursting of the wound in the short term or a hernia in the long term. Further surgery may be needed.
  • In some people healing of the wound can become thickened, red and painful (a keloid scar).
  • Adhesions (bands of scar tissue) may form and cause bowel obstruction. This can be a short term or a long term complication and may need further surgery.
  • If both sides need surgery, then long term medication will be necessary.