Re: Initial experience of transumbilical laparoendoscopic single-site surgery of partial adrenalectomy in patient with aldosterone-producing adenoma

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Interesting. How do they plan to treat the micro ones? Long term followup is needed. Did not mention if she failed MCB and DASH before surgery was considered. Also did not mention AVS to see which side (s) were causing the problem.CE Grim MD This is pretty interesting. "The tumors [macroadenomas] were resected using an ultrasonic scalpel, and the resected site was coagulated using a vessel sealing instrument and then sealed with fibrin glue. Operative time was 123 minutes and blood loss was minimal. The patient was discharged from hospital within 72 hours. Her right adrenal microadenomas will be treated in the next several months. http://www.biomedcentral.com/1471-2490/10/19/abstract/ Val

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Here is the full article. AVS was done but I don't see any mention of DASH. It does mention the effects of other HTN meds. The microadenomas will be treated with full adrenalectomy.http://www.biomedcentral.com/content/pdf/1471-2490-10-19.pdf Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence GrimInteresting. How do they plan to treat the micro ones? Long term followup is needed. Did not mention if she failed MCB and DASH before surgery was considered. Also did not mention AVS to see which side (s) were causing the problem. This is pretty interesting. " The tumors [macroadenomas] were resected using an ultrasonic scalpel, and the resected site was coagulated using a vessel sealing instrument and then sealed with fibrin glue. Operative time was 123 minutes and blood loss was minimal. The patient was discharged from hospital within 72 hours. Her right adrenal microadenomas will be treated in the next several months. http://www.biomedcentral.com/1471-2490/10/19/abstract/ .

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So the patient ends up with No adrenals. Bad choice today I would think. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

Here is the full article. AVS was done but I don't see any mention of DASH. It does mention the effects of other HTN meds. The microadenomas will be treated with full adrenalectomy.http://www.biomedcentral.com/content/pdf/1471-2490-10-19.pdf Val From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence GrimInteresting. How do they plan to treat the micro ones? Long term followup is needed. Did not mention if she failed MCB and DASH before surgery was considered. Also did not mention AVS to see which side (s) were causing the problem. This is pretty interesting. "The tumors [macroadenomas] were resected using an ultrasonic scalpel, and

the resected site was coagulated using a vessel sealing instrument and then sealed with fibrin glue. Operative time was 123 minutes and blood loss was minimal. The patient was discharged from hospital within 72 hours. Her right adrenal microadenomas will be treated in the next several months. http://www.biomedcentral.com/1471-2490/10/19/abstract/ .

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No, the macroadenomas are excised from the adrenal and according to the article, the microadenomas will be treated with an adrenalectomy on that side. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim So the patient ends up with No adrenals. Bad choice today I would think. Here is the full article. AVS was done but I don't see any mention of DASH. It does mention the effects of other HTN meds. The microadenomas will be treated with full adrenalectomy.http://www.biomedcentral.com/content/pdf/1471-2490-10-19.pdf

[Guest guest]

Lets look for their follow up. My bet is that I have looked at many more adrenals than they have and can assure you that the decision as to a macro and a micro is tricky. I think we have a very interesting autopsy report in our files by that shows the examples of human adrenals. If not I attach it here. See figure 1.

If it is not in our files please upload it.ThanksCE Grim MD No, the macroadenomas are excised from the adrenal and according to the article, the microadenomas will be treated with an adrenalectomy on that side. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim So the patient ends up with No adrenals. Bad choice today I would think. Here is the full article. AVS was done but I don't see any mention of DASH. It does mention the effects of other HTN meds. The microadenomas will be treated with full adrenalectomy.http://www.biomedcentral.com/content/pdf/1471-2490-10-19.pdf

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adrenal nodules .pdf