Question

Window Help A sbccd. instructure.com Operative Report Patient Name: Oxy M.Tocin Date of Operation: April 14, 20xx Preoperative Diagnosis: Primary hyperaldosteronism (Conn Syndrome) Postoperative Diagnosis: Primary hyperaldosteronism Surgery Performed: Right laparoscopic adrenalectomy Indications: Patient is a 39-year-old-woman who has a history of hypertension and hypokalemia seen on referral from her endocrinologist. Patient complained of headache and muscle weakness. Patient underwent a 24-hour urine collection, a general metastatic workup, and evaluation for Cushing syndrome. Laboratory studies indicated elevated plasma and urinary aldosterone levels. CT scan revealed the presence of a right adrenal mass, and adrenal venous sampling confirmed that it was an aldosterone producing adenoma. Procedure: The procedure was performed with the patient under general endotracheal anesthesia and with an arterial line, a Foley catheter, and a central venous pressure line in place, A Veress needle was inserted into the abdominal cavity between the mid- clavicular and anterior axillary lines. The abdominal cavity was then insufflated with CO2. A 10-11 mm trocar was placed at the site of the Veress needle, and a 30 degree videotelescope was inserted. A third 10-11 mm port was placed 3 to 4 cm behind the posterior axillary line, and a fourth port inserted after mobilization of the right lobe of the liver. The superior pole and lateral border of the adrenal gland were mobilized first, with the dissection proceeding carefully along the lateral edge of the inferior vena cava. The right adrenal vein was ligated with endoscopic clips and divided, freeing the adrenal gland from its surrounding attachments. The gland was placed in a impermeable entrapment sac and removed from the most anterior port site. After evacuation of CO2 all ports were removed, and the incisions were closed with absorbent sutures Question: What surgery was performed? SOCKENOAG

question: what surgery was preformed?

a) exision of a gland

b) excision of the adrenal gland

c) excision of the thyroid gland

d) incision of the thryiod gland

Answer 1

Answer ; B) Excision of the adrenal gland.
Reason ; From the given case study it is noted that the patient had underwent adrenalectomy, By identifying this term it is clearly understood that the surgery was performed on the aboe mentioned area. other option are not relevant to the scenario.