Nephropexy – Robotic Assisted

Nephroptosis causing abdominal pain
Confirmed on standing Urogram with hydronephrosis caused by kinking of the ureter as the kidney falls down due to loss of supporting structures
Done with robotic assistance

Very Important!!

The correct side for surgery should be checked and confirmed with you,

Mark correct side,

CT scan present

GA
Prophylactic anti-biotics is given.
An indwelling catheter is placed.
The correct kidney is identified and marked while you are awake
Depending on the affected side of 5 incisions will be made.
Porst placed and attached to the Da Vinci robotic system
The colon is reflected to reveal the retro-peritoneal space
The ureter is identified and cleared up to the hilum
The upper pole of the kidney is mobilized with its surrounding fat.
A proximal spot on the psoas muscle is cleared
2 non-dissolvable sutures are used to fix the upper pole of the kidney to the Psoas Muscle
A drain is placed

Side–effects

Minimal Blood loss
Wound Infection.
Post-operative hernia formations especially associated with the elderly with atrophic abdominal muscles
NB! Each person is unique and for this reason, symptoms vary

Repeat CT in 6 weeks

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Wes RA Nephropexy