<prompt> During bilateral adrenalectomy, intra-operative dose of hydrocoisone should be given after:Opening the abdomenLigation of left adrenal veinLigation of right adrenal veinExcision of both adrenal glands  <response>: Patients undergoing surgical treatment of endogenous hypercoisolism require glucocoicoid replacement. 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. 