Post-Surgery Symptoms After Adrenal Tumor Laparoscopy: What to Expect

Q: Post-Surgery Symptoms After Adrenal Tumor Laparoscopy: What to Expect

Hello： 1. Before the surgery, the patient with angina was taking Isosorbide Mononitrate, for arrhythmia was taking Concor, for sweating issues was prescribed Clonidine, and for sleep problems was taking Stilnox. 2. The physician discontinued Isosorbide Mononit

Symptoms that may occur after surgery?

Hello Dr.
Du, I'm back again ><"" I have completed laparoscopic surgery for my adrenal tumor.
I would like to ask a few questions.
The surgery was on June 10, and I was in a home care unit for one day before being transferred to a general ward on June 11.
There were no special issues until the afternoon of June 12, when I started experiencing slight fluctuations in temperature, feeling a bit sweaty.
When the surgeon made rounds, I inquired about it, but he did not provide any specific explanations.
I was notified of my discharge on June 13.

1.
Before the surgery, I had angina and was taking Ivabradine, and for arrhythmia, I was on Concor.
For sweating issues, my neurologist prescribed Clonidine, and for sleep problems, I was taking Stilnox.

2.
The surgeon discontinued Clonidine and Concor before the surgery and administered IV fluids for two days.
The discharge instructions recommended that I continue taking Ivabradine and Stilnox.

3.
The most unusual post-operative symptom is the intermittent chills and persistent sweating, similar to when I experienced excessive sweating during winter three years ago.
At that time, I consulted a neurologist who mentioned it was due to autonomic dysfunction and prescribed Clonidine, which gradually improved my condition.

4.
Is this current situation related to the removal of the adrenal tumor?
5.
Today, I noticed that the area around the surgical incision has a color resembling that of iodine antiseptic.
Is this normal?
I have a lot of questions for you, as my follow-up appointment is not until the end of the month.
Thank you.

Er Mao, 60~69 year old female. Ask Date: 2023/06/16

Dr. Du Shixi reply Urology

Hello:
1.
Before the surgery, the patient with angina was taking Isosorbide Mononitrate, for arrhythmia was taking Concor, for sweating issues was prescribed Clonidine, and for sleep problems was taking Stilnox.

2.
The physician discontinued Isosorbide Mononitrate and Concor before the surgery, administered IV fluids for two days, and upon discharge, advised to continue taking Isosorbide Mononitrate and Stilnox.

3.
Postoperatively, the most unusual symptoms are alternating chills and sweats, similar to when I experienced excessive sweating during winter three years ago.
I consulted a neurologist, who diagnosed autonomic dysfunction and prescribed Clonidine, which gradually improved my condition.
As long as blood pressure is normal, there is no fever, and the wound appears normal, we can observe the situation.
If these symptoms persist during the follow-up visit, I will inform the physician.

4.
Is this condition due to the removal of the adrenal tumor? -- It doesn't seem likely.

5.
Today, there is a discoloration near the surgical site that resembles iodine staining; is this normal? It may appear like a bruise, but as long as it is not red and there is no discharge, we can observe it for now.

Reply Date: 2023/06/16

More Info

After undergoing laparoscopic surgery for an adrenal tumor, it is common to experience a variety of symptoms as your body begins to heal. Your concerns about post-operative symptoms, particularly regarding fluctuations in body temperature, sweating, and the appearance of your surgical site, are valid and warrant careful consideration.

1. Post-Operative Symptoms: It is not unusual to experience episodes of feeling hot and cold after surgery. This can be attributed to several factors, including the effects of anesthesia, the body's response to surgery, and potential hormonal changes following adrenal gland removal. The adrenal glands play a crucial role in hormone production, including cortisol, which helps regulate metabolism and the body's response to stress. If the tumor was producing excess hormones, its removal may lead to temporary imbalances as your body adjusts.
2. Sweating: The excessive sweating you described, especially if it resembles symptoms you experienced previously with autonomic nervous system dysregulation, could be linked to the removal of the adrenal gland. The adrenal glands are involved in the body's stress response, and their removal can lead to changes in how your body regulates temperature and responds to stress. It is essential to monitor these symptoms and discuss them with your healthcare provider during your next appointment.

3. Medication Adjustments: You mentioned that your medications were adjusted before surgery. It is crucial to follow your doctor's instructions regarding medication, especially those related to heart conditions and sleep. If you notice any worsening of your symptoms or new symptoms arise, it is advisable to contact your healthcare provider sooner rather than waiting for your scheduled follow-up.

4. Surgical Site Appearance: The discoloration around your surgical site, resembling iodine, may be a normal part of the healing process, especially if antiseptic solutions were used during the procedure. However, it is essential to keep an eye on the site for any signs of infection, such as increased redness, swelling, or discharge. If you notice any concerning changes, you should reach out to your healthcare provider for further evaluation.

5. Long-Term Monitoring: Given your history of heart conditions and the recent surgery, it is crucial to maintain regular follow-ups with your healthcare provider. They can monitor your recovery and adjust your treatment plan as necessary. If your symptoms persist or worsen, do not hesitate to seek medical advice before your next scheduled appointment.

In summary, while some post-operative symptoms can be expected after adrenal surgery, it is essential to remain vigilant about any changes in your condition. Your body's response to surgery can vary significantly, and maintaining open communication with your healthcare team is vital for a smooth recovery. If you have any concerns or if your symptoms significantly impact your daily life, consider reaching out to your healthcare provider for guidance.

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