Procedure 07

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.

We reply during weekday office hours. For emergencies call the hospital.

Operating theatre at Johannesburg Surgical Hospital
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