Dangerous information about a failed kidney eradication
The first successful kidney resection was performed on August 2, 1869, by German surgeon Gustav Simon, in Heidelberg. Simon performed the operation in advance on animals, and it was established that having one kidney in good health is sufficient to excrete the urine in humans.
There are various uses for this process, such as: renal cell carcinoma, the kidney that does not function (which can cause high blood pressure), and the small congenital kidneys (in which the kidneys are swollen, compressing the nerves, causing pain in other areas such as the back). The process of nephrectomy in renal cell carcinoma has been modified to become partial resection, and the kidney can be removed with the aim of donating and cultivating it. Ureterectomy is done by removing the kidneys, the entire ureter, and a small part of the bladder in case of urinary or ureteral cancer.
Laparoscopic resection
The operation is performed for the patient under general anesthesia, and the kidneys are removed by opening an incision, or laparoscopy. In the event of an opening, the surgeon makes an incision in the side of the abdomen to reach the kidney. Depending on the circumstances, the fissure may also be in the middle. It separates the kidneys from the ureter and blood vessels, and then removes them. While in the laparoscopic method, 3 or 4 small holes (5-10 millimeters) are made in the abdomen and loin area. The kidney is completely separated into the body, and placed in a bag. In the event that the kidney is removed due to cancer, one of the holes is enlarged to remove it. Whereas if it is removed for any other reason, it can be removed from the small holes. Recently, this operation is performed through a single opening in the navel of the abdomen. This advanced technique is called single port laparoscopy.
In some diseases, other alternatives can be used instead of nephrectomy. These alternatives include: renal embolization of patients who are not eligible to undergo the procedure, or partial kidney resection if possible.
Sometimes renal cell cancer spreads to nearby organs such as the inferior vena cava, colon, pancreas, and liver. If the cancer does not spread to faraway places, it can be safely surgically removed by incision opening, or with a speculum.
Donate college
In January 2009, a woman underwent a vaginal resection to donate, and this woman had previously had a hysterectomy. This operation was performed at Johns Hopkins Hospital. It was the first time that a perfectly healthy condition had been removed in this way, while it had been eradicated in the past only due to diseases. Excision of the organs through the body openings reduces some of the pain of incision, and a large scar with a poor aesthetic shape. Any progress in the process; To reduce pain, or to improve the appearance of scars, he can increase the number of donors, and encourage them to donate. The procedure was also performed for the first time in the Cleveland Clinic, where the kidneys were removed vaginally as well. The risk of death for donors during this procedure is 0.03%, and the health consequences that can arise thereafter can be controlled.
Post-operative care
Painkillers are often given to the patient after the operation, to reduce pain in the wound site, to be given intravenous fluids, and to carefully monitor the balance between the electrolyte and the fluids in the body, because the above are the functions for which the kidneys are responsible. The rest of the college may not do all the jobs. The patient remains in the hospital for 2-7 days after the procedure according to the procedure, and its complications.
Partial nephrectomy is a surgical removal of a tumor present in the kidney with a thin edge of the normal kidney, in order to achieve two goals: treating cancer and preserving as much of the natural kidney as possible.
Cherni was the first to describe partial nephrectomy in 1890. However, this procedure was abandoned for a long time due to X-ray capabilities, limited imaging in finding small kidney tumors, and serious complications associated with the process initially. Later after the development of imaging, surgical techniques, and increased tumor detection capacity, partial nephrectomy operations were performed more broadly.
Partial nephrectomy is performed when there is a tumor in cases of a single kidney, or a tumor in both kidneys, or if a complete nephrectomy can cause another kidney failure, and the need for dialysis.
Partial nephrectomy is the basis in all patients with small kidney tumors and most tumors with a size of 4-7 cm are also treated with partial nephrectomy, if the tumor is in a suitable location for excision. While all tumors with a size of 7 cm are treated by radical removal of the kidneys, unless the tumor is in an individual kidney, or it is in both kidneys, or the kidney function is poor. The patient may want to seek the opinion of another doctor in his condition when his doctor tells him that he has a larger tumor, and it is more difficult than he to undergo a partial eradication, because often the surgeons who have dealt with a large number of kidney cancer patients have experience, and a greater ability to maintain the kidney from The surgeon handled a few cases
The patient is generally anesthetized. The surgeon performs the operation through an incision opening, laparoscopy, or robotic surgery. The patient lies in the operating room on the opposite side of the kidney affected by cancer. The goal of this surgery is to remove the tumor with a thin layer of the normal kidney. Because the kidneys ’job is to purify the blood, all the blood in the body eventually passes through the kidneys, and 25% of it goes to the kidneys with each heartbeat. The surgeon temporarily blocks blood flow to the kidneys, so that the tumor can be safely removed, and then sews the remaining parts of the kidneys together again. Partial nephrectomy is often an alternative to total or radical resection in the case of renal cell carcinoma
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