From:
"Sue Liszewski"
Date: 2004-05-25 03:05:56 UTC
Subject: RE: [ferrethealth] bilateral adrenalectomy
To: ferrethealth@smartgroups.com
Message-ID: <BAY15-F22BDxroC6POY000b5208@hotmail.com>
I have done quite a few bilaterals that did not need supplementation and
both glands totally identified on histopath. I think some require
supplentation and others have an alternate source for mineralcorticoids.
Most are placed on prednisolone post op if both are removed but I have been
fortunate with not needed the others. I know other vets on this list have a
totally opposite response and the ferrets all become Addisonian and require
additional meds. I make teh owners aware of what to watch for and so far we
have done well over years times. So just my experiences.
Dr. Sue
>From: SAFERick@aol.com
>Reply-To: ferrethealth@smartgroups.com
>To: ferrethealth@smartgroups.com
>Subject: [ferrethealth] bilateral adrenalectomy
>Date: Mon, 24 May 2004 21:34:44 EDT
>
>In a message dated 5/24/04 7:16:36 PM !! First Boot!!!,
>ferrethealth-digest-help@smartgroups.com writes:
>
>"You say that he had both adrenals removed - was he on hormone supplements
>(Percorten or Florinef)? If not, not all of the adrenal tissue was removed
>and
>this could very easily still be adrenal disease"
>
>It is not uncommon for some people to identify a left adrenalectomy and the
>"debulking" of the right adrenal gland as a bilateral-adrenalectomy.
>Some veterinarians are still unprepared to either ligate or cryo the right
>adrenal, especially if it is invasive of the venacava. Many elect to only
>excise
>as much adrenal tissue as they feel comfortable in doing. This selected
>procedure is sometimes not made clear to the ferret owner.
>Because HRT was vacated, this may have been the case presented here.
>
>Just my opinion.
>
>Dooks and Blessings,
>Rick White, SAFE
>
>
>
>
>--
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