What is dangerous is the omission of the kidney: surgery and its danger
Treatment of uncomplicated form of nephroptosis is most often conservative. If the ovulation of the kidney is developing: the operation is to fix the organ in the usual bed.
The main requirement that must be observed during the operation is the combination of firmly fixing the organ while maintaining its physiological mobility and eliminating pathological mobility along the vertical and perimeter of the transverse axis.
Also, surgical intervention can not disrupt the location of the physiological axis for the kidney, cause the development of inflammation near the kidney and especially near the leg and the ureterocarillary segment. Indications and contraindications for operation
Indications for surgical intervention in the development of nephroptosis are: severe pain, in which a person loses efficiency, the development of pyelonephritis, which is not amenable to conservative therapy, vasorenal hypertension, nephrolithiasis and hydronephrosis transformation.
Contraindications to surgery include: elderly age and development of general splanchnoptosis.
This is important! Preparation before surgery depends on the formed complications that provoked the need to organize nephropexy.
Open surgical procedure
The first open surgical operation was realized in 1881 by a surgeon who suggested using a kidney capsule in order to fix it at the required level.
In modern medicine, an open surgical operation of kidney fixation is considered a history of surgery. Most of the doctors of the new generation of urologists do not even have the experience of implementing such manipulations. This happens because of the high invasiveness of the procedure compared to open intervention, a high risk of complications. Successfully completed not more than half of all operations performed.
Nephropexia in modern medicine
In the past few years, the methods of percutaneous nephropexy have been actively described in medicine. Usually, percutaneous nephropexy is realized by the addition of nephroptosis by the formation of calculi in the kidney. The day of such an operation is to put a special catheter into the kidney by means of one small incision on the skin in order to shift and fix the kidney in the correct position. At the same time, stones are removed.
But now this method is rarely implemented. It is believed that percutaneous nephropexy with kidney lowering is acceptable for inpatient treatment in hospitals that are not provided with equipment for laparoscopy.
This is important! Laparoscopic nephropexy is the most modern method of implementing surgical intervention. It is minimally invasive. For the first time such an operation was organized in 1993 by Urban. Over the next two years, successfully laparoscopic intervention was carried out for six patients with a diagnosis of kidney lowering. In modern medicine, laparoscopy for the omission of the kidney is considered the standard treatment for complications resulting from the disease.
The essence of the organization of nephropexia
The operation in the development of kidney omission is called nephropexy. Its meaning lies in implementing a special mesh under the kidney and fixing the kidney itself. As a result, the body seems to fall into a special hammock, which prevents its subsequent descent downwards. The artery ceases to stretch, but the ureter does not bend.
Thus, problems with jumps in blood pressure indicators are eliminated, pain and pyelonephritis go away. Previously, for such an operation it was necessary to make a large incision length of at least 20 cm, which was supplemented by severe pain, scars and other problems.
Currently, the operation is performed laparoscopically - in the skin three small punctures are made no more than 5 mm in length.
After the operation is completed, the person is discharged home the next day. The patient does not complain of discomfort and pain. Return to the usual way of life and play sports can be after two to three weeks.
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