Open Transabdominal Right Adrenalectomy
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Open Transabdominal Right Adrenalectomy

This Open Transabdominal Right Adrenalectomy course will teach you:

  • To remove the right adrenal gland, in case of a benign or malignant tumor.

Special attention is paid to the following hazards you may encounter during the Open Transabdominal Right Adrenalectomy:

  • Vascular injury to the inferior vena cava and right hepatic vein
  • Catecholamine release and hemorrhage
  • Inferior vena cava hemorrhage
  • Renal artery injury

With the following tips you might perform the Open Transabdominal Right Adrenalectomy even better:

  • Extension incision
  • Transection round ligament of the liver
  • Visualizing the adrenal gland
  • Preventing thread slippage
  • Superior renal polar artery
  • Vascular transection
  • View on caudal border of adrenal gland
  • Wound drain

After studying this Open Transabdominal Right Adrenalectomy course you are familiar with the most common complications:

  • Adrenal Insufficiency
  • Postoperative ileus
  • Injury to adjacent organs
  • Wound problems

Step by step

Abdominal cavity approach

Skin

Mark

Mark the skin starting approximately 2.5 cm caudal to the xiphoid process, extending 10 – 15 cm obliquely down to the right, following the border of the costal arch as per Kocher’s incision.

Incise

Incise the skin over the previous marking.

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