Adrenal Surgery
The adrenal glands sit above each kidney. They occasionally develop tumours — some hormonally active (Cushing's, Conn's, phaeochromocytoma), some found incidentally on a scan.
What it involves
Laparoscopic adrenalectomy — through three or four small incisions — is the standard of care for most benign adrenal tumours. Dr Marais's endocrine surgical training makes this a familiar operation rather than an unfamiliar one.
When it's indicated
Functioning adrenal tumours, incidentalomas above 4 cm, tumours showing suspicious features on cross-sectional imaging, or when hormonal testing shows autonomous secretion.
The approach
Adrenal surgery is delicate and low-volume by nature. Preparation matters — particularly for phaeochromocytoma — and the team includes anaesthetists comfortable with these cases.
Discuss adrenal surgery with Dr Marais
Send a short enquiry and the practice will be in touch during weekday office hours. Consultations take place at Johannesburg Surgical Hospital.

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