Laparoscopy of the kidney: preparing for surgery and rehabilitation
According to their dominant function laparoscopy of the kidney refers to accurate and efficient diagnostic methods. She is assigned in cases need surgical removal of benign and some malignant tumors. The popularity of such procedures increases, because after competent of its implementation are left rough scars, faster recovery.
Preparation for laparoscopy
The activity begins with a detailed interview of the doctor and the patient. Important details and explain what will be surgical intervention, the purpose of its carrying out, possible complications.
The doctor’s task is not only to convey information but to set up on understanding of obtaining a positive outcome of the procedure. Proper understanding of the importance and nature of the upcoming laparoscopy, conscious attitude to all medical recommendations are an important part of the medical complex. For example, if you need to normalize the weight, by eating a healthy diet and include mode enhanced physical activity, it completely becomes the task of the patient.
Preoperative preparation includes, in addition to gymnastic exercises the following activities:
- eating foods that normalize the functioning of the stomach and intestines cause flatulence, and other adverse reactions;
- approximately five days of events start on clearing the intestine;
- the evening prior to surgery removes unwanted hair on the body;
- morning is enema, and conducted hygiene procedures;
- the meal stops the night before, the morning is not recommended for drinking except for small amounts of liquid to wash down constantly using medication with a doctor’s permission.
The patient will also need to pass the necessary tests and pass certain examinations, the doctor could identify the education and accurately predict the sequence of actions.
- Seems blood to identify the degree of clotting, as well as all the key indicators – the level of glucose, cholesterol.
- Conducted blood tests for the establishment of pathologies of an infectious nature, in particular hepatitis b, syphilis, AIDS.
- In the list of mandatory preventive examinations included chest x-ray and electrocardiogram.
An important criterion is the absence of adverse catarrhal phenomena, fever, cough, runny nose. If you have a chronic disease, laparoscopy can be resolved in a period of stable remission. You have to go through advice from specialists. If you suspect the presence of varicose veins is done scanning, to assess in detail the condition of the vessels for the presence of blood clots.
After experiencing a gastrointestinal or viral diseases must pass a minimum of fourteen days. A contraindication would be the presence of blisters or ulcers on the skin, indicating activation of the herpes, which greatly reduces the immune system. The recommendations will be given on the need to fully pre-cure.
The features of the laparoscopy
The General sequence of actions when carrying out laparoscopic surgery of the kidney follows.
- The patient is under General anesthesia.
- Cuts short lengths.
- Introduced tubing for instrumentation.
- To increase review is pumped into the area operated on carbon dioxide.
- Through one of the holes goes a miniature video camera that facilitate accurate projection image on the monitor.
- Driving tools inserted through the other incisions, the surgeon performs the task.
- Removed all fixtures, sutured.
In some cases, it is possible to conduct laparoscopy kidney
Training of surgeons, the development of advanced technologies makes it possible to perform laparoscopy even with a serious kidney disease.
Nephrectomy is one of the most difficult and serious of endoscopic operations for malignant tumors which experienced surgeons are able to perform the technique of laparoscopy. Assigned to the removal of the kidney, if the task is to save the patient’s life. Prepared incisions under the trocar, through which is introduced a Toolkit and a video camera. Through the laparoscope, the supply enlarged image on the screen, the surgeon fully controls the situation, preventing excessive bleeding. Remote kidney or part of it in a special container is removed through the prepared incision.
For tumors in the initial stages can be assigned laparoscopic resection of, involving effects on the tumor with preservation of the kidney. The operation is preceded by a thorough examination of the lesion for development of algorithm of actions of the surgeon with the aim of maximum preservation of functioning kidneys.
Successfully used laparoscopy in cosmetic surgery of hydronephrosis to restore the normal movement of urine. Almost universally, the surgeons took possession of this gentle method, if the destruction of renal cyst.
In any situation, laparoscopy is considered a more benign operational environment, such as tissue and skin receive minor injuries compared to extensive cavitary resection with conventional surgery.
The postoperative period
The first day patients experience different degrees of pain, so usually they are prescribed painkillers, the demand for which in most cases disappears by the beginning of the second day. Usually by evening, the sick rise up, take food. The motor load is increased gradually based on many individual factors – age, the complexity of the operation, the presence of comorbidities. Days six or previously they are already discharged.
Some time continuing the diet with the gradual expansion of the range of used products. The dominating requirement for a rapid recovery is getting a balanced diet with the inclusion of the recommended amount of vitamin-mineral preparations. Small incisions are tightened quickly, leaving inconspicuous scars.
If necessary, the doctor gives recommendations on the wearing of a postoperative brace or prescribes the selection of a specific compression clothes. To recovery took place in normal mode, the first months are limits on physical activity. You can’t carry, lift, moving weights, to run, to hike or to dissolve in hand, feet, arms, and torso. To work usually the patient is allowed to start after 14 days after discharge.