oa South African Medical Journal - Surgery and the adrenal*



1. The adrenal plays a significant part in maintaining the internal environment of the body. 2. The healing of wounds and the general metabolic processess of patients about to undergo surgery are profoundly affected if they have been taking cortisone regularly prior to operation. 3. The diagnosis of adrenal tumours may be so difficult that frequently it is only made at operation or autopsy. 4. Total adrenalectomy has a place in the treatment of essential hypertension. 5. The prospects of betterment are enhanced if the adrenalectomy is combined with bilateral neurectomy of the Smithwick type.


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