Item Number: 36519
Why is it done?
- A symptomatic non-functioning kidney
- Causing discomfort
- The risk for post-operative dialysis will have been discussed prior to your surgery by means a referral; to a Nephrologist.
How is it done?
- Patients will receive a general anaesthesia, unless contra-indicated.
- Prophylactic antibiotics is given.
- An indwelling catheter is placed.
- The correct kidney is identified and marked while you are awake
- Depending on the side of non-functioning kidney 3-4 incisions will be made:
- 1 for the hand-port of approximately 8cm depending on the amount of subcutaneous fat present
- 1 for the camera-port
- 1 for the working-port
- (1 for the liver retractor on the right)
- The colon is reflected to reveal the retroperitoneal space
- The ureter is identified and cleared up to the hilum
- The arteries are identified and tied off and cut first. More than 1 can be present
- Then the vein/ veins are tied and cut.
The rest of the kidney is mobilized with its surrounding fat and removed
- 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