Complications of Removing Adrenal Glands

Removal of the adrenal glands, or an adrenalectomy, is performed for a variety of reasons, including growth of a tumor or tumors. While today's surgical techniques allow a surgeon to perform the surgery using a minimally invasive approach, it is important to be aware of side effects and which ones may warrant a trip to your physician.

Less Severe Complications

• Any type of surgery carries with it some risks and an expected amount of pain to accompany the recovery process. If you experience symptoms associated with the after-effects of surgery, such as nausea or upset stomach due to anesthesia; slightly elevated blood pressure; light bleeding from the incision site (bleeding that ceases when pressure is applied); or pain that ceases in intensity with pain medication, these are generally considered more normal complications that can occur immediately following removal of the adrenal glands. If these symptoms persist or worsen after a period of a week, you may wish to see your physician.

  Additionally, your after-surgery strategy should include engaging in some forms of movement, particularly moving the legs, which may be prone to blood clots following surgery.

More Serious Complications

• While some discomfort, pain and bleeding is normal following surgery, you and a loved one should closely observe symptoms that could indicate a more serious infection. Warning signs that an infection or other complicating problem has occurred include high fever, rapid breathing, irregular heartbeat, severe abdominal pain that seems to worsen, fainting or pus drainage or warmth around your incision site.

  These complications can indicate a condition ranging from infection inside the body or at the incision site, damage to a nearby organ or a blood clot. As these complications could require further surgery, it is important to seek help as quickly as possible should you notice these changes.

Long-Term Complications

• Long-term effects of adrenal gland removal often depend upon the type of surgery and your condition prior to removal. If you are having only one adrenal gland removed, then you may not require hormone supplementation. However, if you must have both glands removed, you should discuss with your physician the implications of taking long-term steroid medications in order to compensate for lack of adrenal glands.

  You should also discuss with your physician any dietary recommendations following surgery. While an adrenalectomy does not necessarily require restrictions, your physician may ask you to limit your salt intake in an attempt to keep your blood pressure lower during your recovery phase.