Question

HISTORY: Susan Summers is a 40 year old female who has 3 children under the age of 10yrs. Susan has casual employment stacking shelves in a supermarket at night. Susan is obese at 90kg (BMI 35kg/m2) and has been diagnosed with type 2 diabetes. Susan admits to drinking a bottle of wine or more per night after work to help her cope with her life. Susan was admitted to hospital for surgery following changes in her appearance due to Cushing’s syndrome caused by a benign tumour of her right adrenal gland. Susan is admitted to hospital for a laparoscopic right adrenalectomy under general-anaesthesia. After 2 hours in the post-anaesthetic recovery room (PARU) and an uneventful recovery, Susan was transferred to the ward, where you have been allocated to her care. PRESENTATION TO THE WARD: On return to the ward Susan’s observations are as follows: • Respirations 30 breaths per minute • BP 160/90mmHg • Pulse 128bpm • Temperature 35.0oC • Pain score 0/10 • Indwelling urinary catheter (IDC) 5mls in the last hour. Why does Susan feel no pain ( Susan's observation show her pain score is 0/10)?

Answer 1

-In knowledgeable indicators, laparoscopic adrenalectomy permits for rapid recovery and negligible post-operative pain. Though, laparoscopic adrenalectomy is not suggested for actual great tumors and those with a great probability of cancer.

-The choice to achieve an exposed or laparoscopic process will be completed on an individual foundation by your doctor. Approximately 3.99% of processes that are ongoing laparoscopically will want to be rehabilitated to an exposed process.

-Adaptation to an exposed process is founded on the ruling of the surgeon. Shared details for change to an exposed method comprise the tumor existence wedged to nearby constructions, signs of malignancy, and tumors too big to be carefully detached laparoscopically.

-Laparoscopic adrenalectomy can be completed by means of one of three dissimilar methods: transabdominal, retroperitoneal, and robotic.