Treatment of uncomplicated forms Nephroptosis most conservative.If developing kidney ptosis: operation consists in fixing the body in the usual box.
main requirement that must be followed during the operation - it is the union of body fixing firmly while maintaining its physiological mobility and elimination of pathological mobility of the vertical and lateral axis perimeter.
Also surgery may not violate the location of the physiological axis of the kidney, cause inflammation of the development near the kidney and is particularly close to the foot and UPJ.
Indications and contraindications operation
indications for surgical intervention in the development of Nephroptosis are: severe pain in which a person loses efficiency, the development of pyelonephritis, not amenable to conservative therapy, renovascular hypertension, nephrolithiasis and hydronephrosis transformation.
Contraindications operations include: advanced age and development of the common visceroptosia.
This is important! Preparation before surgery is dependent on mature complications that triggered the need for the organization nephropexy.
first open surgery was implemented in 1881 by the surgeon, who proposed the use of the renal capsule for the purpose of fixing it to the required level.
In modern medicine, the open surgical fixation kidney surgery is considered to be the history of surgery.Most urologists new generation does not even have the experience of implementation of such manipulation.It happens because of the highly invasive procedure than open intervention, high risk of complications.Successfully completed no more than half of all transactions.
nephropexy in modern medicine
In the last few years in medicine actively discloses a method of percutaneous nephropexy.Usually, percutaneous nephropexy implemented with the addition Nephroptosis formation of stones in the kidney.Suta such surgical intervention is staged in the kidney of a special catheter through a small incision in the skin with the aim of shifting and fixing the kidneys in the correct position.Simultaneously it produced and stone removal.
But at the moment this method is rarely implemented.It is believed that the percutaneous nephropexy with kidney omission is acceptable for in-patient treatment in hospitals, which are not provided with the equipment for laparoscopy.
This is important! Laparoscopic nephropexy - this is the modern method of implementation of the operation.It is minimally invasive.The first such operation was organized in 1993 Urban.Over the next two years successfully laparoscopic intervention was carried out more for the six patients diagnosed with renal ptosis.In modern medicine, laparoscopy in renal ptosis is considered the standard of care resulting from complications of the disease.
essence of the organization nephropexy
operation in the development of the kidney is called ptosis nephropexy. Its meaning lies in the implementation of a special mesh summing under the kidney and fixing itself kidneys.As a result, if the body falls into a special hammock, which prevents its subsequent drooping down.Artery with stops to stretch, and the ureter is no longer bent.
thus eliminated problems with arterial pressure jumps out pain and pyelonephritis.Previously, such an operation was necessary prodelyvat large incision of at least 20 cm, which is complemented by a strong pain, scars and other problems.
Currently, surgery is performed laparoscopically - three small puncture is made not more than 5 mm in length in the skin.
After completing human transactions are discharged home the next day. patient does not complain of discomfort and pain.Return to normal life and exercise can already after two - three weeks.
Like this?Share with friends and acquaintances: