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Laparoscopic Adrenalectomy - Urology HF#6986

Genitourinary

 
 

A laparoscopic adrenalectomy is the removal of the adrenal gland.  This is can be done three different ways.  One way is using laparoscopes through 3 to 5 small incisions.  In another way, a laparoscopic hand-assist approach is used which is also done through the small incisions and one larger incision.  In some cases, there is chance that the surgeon will decide to do an open approach which is one larger incision.

 

Before Surgery

 

To prepare for surgery you will need to empty stool from your bowel.  A few days before your bowel prep, go to your local drugstore.  Buy 1 bottle of magnesium citrate (10 oz).  Store it in the refrigerator until you need to drink it.  It is easier to drink if it is cold.

 

The Day before Surgery

 

  • Eat a light breakfast and lunch, avoid greasy foods and red meat.
  • Drink only clear liquids after lunch up to midnight (no limit on amount). 
    • Water
    • Broth
    • Juice without pulp (apple, cranberry, grape are okay)
    • Popsicles
    • Hard candy, no chocolate
    • Clear Jell-O®, homemade, not premade,(no fruit, etc. in it)
    • Sparkling water or soda
    • Weak coffee or tea, no creamer
    • Gatorade® or other sport-type drink
    • Boost Breeze®/Resource®

 

After lunch, do not eat solid food, or drink juice with pulp, dairy products or alcohol.

 

_____ At 2:00 pm drink magnesium citrate 10 oz. (1 entire bottle; any flavor).  Drink 1 liter of a sport-type drink the electrolytes before midnight (Gatorade®).  After this, you may drink as much clear liquid as you wish until midnight.

 

Shower before bed with antibacterial soap.

 

Do Not Eat or Drink after Midnight.

 

The day of surgery shower with the antibacterial soap before you leave for the hospital.

 

After Surgery

 

  • It is normal for you to have some pain in the area for 2-4 weeks.  Pain pills will be ordered for you.  Follow the directions for using these pills.
  • You will be walking soon after your surgery.  This is very important to your recovery. The pain pills will make it easier for you to move around.
  • You will be in the hospital 2-4 days.
  • Expect to get back to your normal routine in 10-12 days; no strenuous activities.

 

Activity

 

  • Do not lift more than 20 pounds for 4 weeks.
  • Nothing strenuous such as jogging, aerobics, or swimming for 4 weeks after surgery.
  • Drink at least 8 glasses of fluid per day (any kind of fluid is fine, except no alcohol)
  • You may shower.  Do not soak your incisions in a hot tub, bath tub, or swim until they are healed, at least 2 weeks.  You may wear Band-Aids® if you need to.  Wear Band-Aids® if your incisions are in a skin fold, your clothes rub on them, or they are draining.  Change them at least daily and more often if they get wet or soiled.
  • Resume sexual activity after 2 weeks.
  • Do not drive for 2 weeks.
  • The length of time you will need to be off work depends on your recovery and the type of work you do.  Check with your surgeon before going back to work.

 

Follow-Up

 

Your first follow-up visit will be made for you before you leave the hospital.

 

When to Call the Doctor

 

  • Shortness of breath or chest pain, call 911
  • Increasing redness, warmth, or swelling of an incision
  • Pus-like drainage from the incision or drain site
  • Temperature over 100.4° F for two readings taken 4 hours apart
  • Decrease in urine output
  • Bloody urine

 

Phone Numbers

 

Urology Clinic:  (608) 263-4757

Nights, weekends and holidays this will connect you to the paging operator.  Ask for the urology doctor on call.  Leave your name and phone number with the area code.  The doctor will call you back.

 

If you live out of the area, please call 1-800-323-8942.

 

Your urology doctor is _________________

 



The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.

Last Updated: 03/22/2010

Copyright © 03/22/2010 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6986

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