During bilateral adrenalectomy, intra-operative dose of hydrocoisone should be given after: (A) Opening the abdomen, (B) Ligation of left adrenal vein, (C) Ligation of right adrenal vein, (D) Excision of both adrenal glands
Answer is D. Steroids are not given pre-operatively because these patients are already hypercoisolemic. Instead hydrocoisone 100 mg IV is given after the removal of second hyperplastic adrenal gland