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How is Open Nephrectomy Done?

12.01.2024
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How is Open Nephrectomy Done?
Guest Post

How is Open Nephrectomy Done?

Kidney transplantation is an important treatment method used in cases of life-threatening kidney failure. For transplantation, both recipient and donor undergo a rigorous medical evaluation. If they are found suitable as a result of these evaluations, surgical procedures are planned for the recipient and donor.

What is Nephrectomy?

Nephrectomy is the medical term that refers to the removal of the kidney from the body. There are two basic nephrectomy methods: Open and closed (laparoscopic) nephrectomy. In Organ Transplant Centers, kidney transplants are performed using the Full Laparoscopic method, which is a minimally invasive intervention.

Open Nephrectomy Procedure for Donor

Removal of the kidney from the donor can be performed by open nephrectomy. Open nephrectomy is a traditional method that involves direct removal of the kidney through a large incision. This procedure, which is more invasive compared to closed, or laparoscopic nephrectomy, may be preferred in certain cases, for example, when the kidney carries very large masses or abnormal structures.

Open Nephrectomy Procedure for the Recipient

When the recipient undergoes an open nephrectomy, the kidney is placed in the recipient's abdominal cavity, usually in the right or left groin. In patients for whom a pancreas transplant is also planned, the left groin can be reserved for the kidney and the right groin can be used for the pancreas. In general cases, the kidney is more often positioned in the right groin.

In recipient surgery, an incision approximately 15-20 cm long is made by the surgeon, resembling the shape of the letter 'J'. The kidney is placed behind the abdominal membrane, connected to the arteries and veins and the urinary tract. Once these connections are made, a drain is placed in the area and can usually be removed after 3-4 days.

The stent placed in the urinary tract is placed during the urinary connection and must be removed after 3-4 weeks. This procedure is performed by urologists under light anesthesia. The operation site is closed with stitches or small clips. These clips can be removed in the outpatient clinic 3 weeks after the surgery.

Removing Diseased Kidneys

Removal of diseased kidneys may only be necessary if they carry risks such as infection, cancer, or in cases such as polycystic kidney disease. In other conditions, there is no problem in keeping the kidneys in the patient.

Natural Opening Surgery

Natural opening surgery is the method of removing the kidney through the vaginal route. This procedure is an aesthetically superior method, especially for female donors, and may speed up the healing process and leave no surgical scars.

As with any surgical procedure, open nephrectomy is a complex process that requires a high degree of expertise and experience. The most appropriate procedure method for the well-being of the recipient and donor will be determined by physicians, taking into account the patient's specific situation.