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Surgery of the Adrenals
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=== Principles (7): === # No touch technique # Preservation of the intact peritoneum on the anterior surface of the adrenal gland if no evidence of invasion through the overlying peritoneal layer # En bloc resection of tumor with a wide margin of surrounding benign tissue outside the tumor capsule # Strict preservation of an intact tumor capsule # Exclusion of the remainder of the peritoneal cavity as much as possible using barriers such as laparotomy pads, plastic barriers, or drapes # Minimizing of bleeding and fluid spillage into the peritoneal cavity # Change of gloves, gowns, and instruments after removal of the tumor and prior to closure of the abdomen.
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