ABSTRACT
In 1936, Hugh Hampton Young described bilateral subtotal adrenalectomy for children with congenital adrenal hyperplasia (CAH).1 Since that time, the physiology and pathophysiology of the adrenal gland has become increasingly understood, while imaging of the adrenal to localize disease processes has improved. These advancements have helped to define the role of surgery in the management of adrenal disorders. The spectrum of pediatric adrenal disease, as well as the pathophysiology of these processes, has been covered in the preceding chapters. Here, we focus primarily on the surgical management of adrenal disease. Specific pathologic conditions are addressed with regard to their influence on surgical approach.
