Open Kidney Surgery: Difference between revisions
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** Easier than flank 11th transcostal incision and may provide equal exposure | ** Easier than flank 11th transcostal incision and may provide equal exposure | ||
* '''Surgical description''' | * '''Surgical description''' | ||
** '''Incision''' | ** See [https://www.youtube.com/watch?v=9DzxdniYrms video] | ||
**'''Incision''' | |||
*** Begin at the lateral border of the sacrospinalis muscle/posterior axillary line, at the superior aspect of the 12th or 11th rib | *** Begin at the lateral border of the sacrospinalis muscle/posterior axillary line, at the superior aspect of the 12th or 11th rib | ||
**** The level of the incision is determined by the patient’s anatomy, the location of the lesion, and the planned procedure. | **** The level of the incision is determined by the patient’s anatomy, the location of the lesion, and the planned procedure. | ||
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** '''Used to manage nonmalignant diseases of the kidney''' | ** '''Used to manage nonmalignant diseases of the kidney''' | ||
** '''Indications''' | ** '''Indications''' | ||
*** '''Durable non-function or poor function of a kidney as a result of obstruction, infection, trauma, stones, nephrosclerosis, vesicoureteral reflux, polycystic kidney, or congenital dysplasia.''' | **# '''Intractable symptoms or associated problems, such as bleeding, pain, hypertension, or persistent infection.''' | ||
**#'''Durable non-function or poor function of a kidney as a result of obstruction, infection, trauma, stones, nephrosclerosis, vesicoureteral reflux, polycystic kidney, or congenital dysplasia.''' | |||
* '''Open nephrostomy''' | * '''Open nephrostomy''' | ||
* '''Extracorporeal renal surgery with auto-transplantation''' | * '''Extracorporeal renal surgery with auto-transplantation''' | ||