Item Number: 36537
Why is it done?
- 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
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How is it done?
- 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 3-4 incisions will be made and a hand port
- 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
Complications
Side–effects
- Minimal Blood loss
- Wound Infection.
- Post-operative hernia formations especially associated with the elderly with atrophic abdominal muscles
- Prolonged hospital stay due to impaired renal function recovery.
- Dialysis as discussed by your Nephrologist, if pre-operatively indicated
NB! Each person is unique and for this reason, symptoms vary
Copyright 2019 Dr Jo Schoeman