Thus, the competent doctor you put this diagnosisand suggested that the operation - "stitching" the kidneys - nephropexy, certainly offering several options. What's offered? And you ask - in what way? Most likely this will be the traditional abdominal surgery with a cut on the side of 10 cm, using as a fixing material such as muscle flap - all right, that's in the past century, we (practitioners, urologists) arrived, and I must say, for the most part continue work on this method today. What are the requirements we make to ourselves before the operation today?
- Kidney should be securely fixed.
- Restored normal renal blood flow and urine flow.
- Renal tissue must not be injured during the operation.
- Kidney should retain physiological mobility.
- Restoration of disability should occur soon after surgery.
All aspects are observed, but at what cost: long stay in bed for a long healing surgical wounds, the likelihood of post-operative hernias, a cosmetic defect of the lumbar region (rough scar), a long rehabilitation period (21 days of strict bed rest and limit physical activity for 6 months after surgery). Naturally the question arises - is there an alternative? Today we can say that there is an alternative - a endovideosurgical (laparoscopic or lyumboskopicheskaya) operation.
What it is? Using a special tool, modern surgical equipment, the presence of certain skills of the surgeon performed an operation, so you can do nephropexy ( "stitching" the kidney) in compliance with all the requirements listed above, with all the old, ie as for open surgery, techniques and techniques. The difference in access and technology that reduce trauma surgery.
Another, in our view, the advantage - duringLaparoscopic surgery is possible to identify the pathology of clinically before himself does not manifest and its elimination, for example - adhesive disease - adhesions can be successfully separated.
- We need special equipment and tools.
- Separate operating.
- Staff trained to perform laparoscopic surgery.
- Availability of consumables.
But if there is equipment operating, qualified personnel, and the patient is provided with a consumable - no flaws. Thus, it is the relative disadvantages.
- Prolonged stay in bed.
- The healing of surgical wounds.
- The possibility of postoperative hernia.
- Cosmetic defect of the lumbar region.
- Long-term rehabilitation.
As you can see, thanks to the emergence of modern equipment and new techniques endovideoskopiya firmly taken its rightfully worthy of a place in the treatment of renal pathological mobility.
The first operation carried out by traditional method. The postoperative period was 11 days, the full rehabilitation of 3 months.
A year later, the patient underwent laparoscopic nephropexy prolene mesh with the other hand - the postoperative period - 3 days, the period of full rehabilitation 1 month + cosmetic effect.
So make your conclusions and choices.