Postoperative period of kidney resection

author: doctor Serova G.A.

Kidneys - the most important pair organ in the human body, performing several functions. The main of them is the excretory (excretion of urine) and homeostatic (ensuring the normal blood composition, its ion balance).

Many diseases of the kidneys or trauma and injury lead to the violation of these functions, which adversely affects other organs and systems, entails a deterioration of the human condition up to a lethal outcome. For kidney tumors, tuberculosis lesions, echinococcosis, severe form of urolithiasis, or partial hydronephrosis, surgical intervention is necessary to preserve a person's life: nephrectomy or resection.

What is kidney resection, how to perform it?

Unlike nephrectomy (removal of the kidney completely), resection is the removal of only the affected area, the organ as a whole is preserved. In the absence of complications, the kidney is completely restored, and the person recovers.

By tradition, resection is often carried out in an open manner, making a cut in the lumbar region. At the same time, neighboring tissues are inevitably injured, blood loss increases, a rather large scar remains on the skin.

A more modern and sparing method of resection is laparoscopic. The operation is the least traumatic, carried out through several punctures, leaving inconspicuous scars.

After resection, a drainage tube is inserted into the incision site, which allows monitoring the postoperative period.

Complications of the postoperative period

After resection under anesthesia, the patient is placed on the first day in the intensive care unit to monitor all organs and systems, to prevent complications. He is prescribed painkillers and antibiotics. In a day at normal arterial pressure, ECG and other indicators, he is transferred to the ward ward, under the supervision of the attending physician.

Normally, the discharge from drainage should stop on day 5. The treatment of the incision site is regularly carried out, sterile bandages are changed, and the catheter from the bladder is removed on day 3. Sutures are removed on day 12.

After resection, there are much fewer complications than with complete removal of the kidney. But sometimes in the postoperative period may develop myocardial infarction, stroke, thrombophlebitis, pulmonary embolism, which requires immediate medical care. Very rarely develop infectious complications. The continuous discharge from the drainage tube indicates obstruction of the urinary canals or fistula formation. In this case, repeated intervention is necessary. If the operated kidney is not restored after resection (3% of cases), its complete removal is shown.

Prevention of complications

Absence of contraindications to resection, careful preparation of the patient, correctly chosen tactics of operation are the main conditions for the course of the postoperative period without complications. Moderate motor activity 2-3 days after the operation and breathing exercises do not allow to develop stagnant phenomena in the lungs and paresis of the intestines, leading to constipation. Antibiotic courses prevent infectious complications.

After discharge from the hospital, a person comes under the supervision of the precinct medical service. He should wear a bandage for 1 month, reduce physical exertion, do not eat salty, spicy and pickled food, regularly show to a urologist or nephrologist.

If these rules are observed after resection, the recovered kidney is quickly restored, the postoperative period proceeds without complications, and the person quickly returns to work and the usual rhythm of life.

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andy espinoza: *superficial vein thrombosis *adhesions * GIT bleed * intestinal obstruction *cuffing symptom umbilical hernia

Berthy Perez: Phlebitis in superficial vein Instestinal adhesions GI bleeding Small bowel obstruction Umbilical hernia (+ cuffing symptom)

komal borate: 1)superficial vein thrombosis 2) adhesions 3) GIT bleed 4) intestinal obstruction 5)cuffing symptom umbilical hernia

Neer Patil: 1) Deep Vein Thrombosis 2) Intenstinal Adhesion 3) Lower Gastro-intestinal bleeding 4) Small bowel obstruction 5) Umbilical hernia (Bulging)

Anushka Sonar: 1) Edema or hyperemia. 2) pelvic adhesions. 3) Melena. 4) Small bowel obstruction. 5) Umbilical hernia.

Shubham Naik: 1.Deep vein thrombosis 2.Intestinal adhesions 3. Lower GI tract bleeding 4. Small bowel obstruction 5. Umbilical hernia, soft bulge.

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