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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Genitourinary

Laparoscopic Adrenalectomy - Urology (6986)

Laparoscopic Adrenalectomy - Urology (6986) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Genitourinary

6986

Laparoscopic Adrenalectomy
(Urology)

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
ξ Eat a light breakfast and lunch, avoid
greasy foods and red meat.
ξ Drink only clear liquids after lunch
up to midnight (no limit on amount).
o Water
o Broth
o Juice without pulp
(apple, cranberry,
grape are okay)
o Popsicles
o Hard candy, no
chocolate
o Clear Jell-O®,
homemade, not
premade (no fruit)
o Sparkling water
or soda
o Weak coffee or
tea, no
creamer
o Gatorade® or
other sporty-
type drink
o 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
ξ 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.
ξ 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.
ξ You will be in the hospital 2-4 days.
ξ Expect to get back to your normal
routine in 10-12 days; no strenuous
activities.

Activity
ξ Do not lift more than 20 pounds for 4
weeks.
ξ Nothing strenuous such as jogging,
aerobics, or swimming for 4 weeks
after surgery.
ξ Drink at least 8 glasses of fluid per
day (any kind of fluid is fine, except
no alcohol)

ξ 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.
ξ Resume sexual activity after 2
weeks.
ξ Do not drive for 2 weeks.
ξ 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
ξ Shortness of breath or chest pain,
call 911
ξ Increasing redness, warmth, or
swelling of an incision
ξ Pus-like drainage from the incision
or drain site
ξ Temperature over 100.4 θ F for two
readings taken 4 hours apart
ξ Decrease in urine output
ξ 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 _________________


















Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 10/2016 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6986