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Open Radical Nephrectomy

What is open radical nephrectomy?

Kidneys are organs that help in the removal of waste from the body in the form of urine. A tumor, stones or infections in the kidney may alter its functioning, necessitating medical intervention.

Open radical nephrectomy is a surgical procedure that involves the removal of one kidney along with the adrenal glands (hormone releasing glands that sit on top of the kidney) and lymph nodes. This procedure is usually indicated for the following:

  • Kidney cancer
  • Infection of the kidney leading to scarring and loss of function
  • Kidney stones that have damaged most of the kidneys and cause chronic infection
  • Donor for kidney transplant
  • Control bleeding caused by kidney trauma

How is the procedure performed?

Open radical nephrectomy is performed under general anesthesia and the procedure takes about 3 hours to complete. Your surgeon makes an incision (8 to 12 inches long) on the side or just below your ribs. The muscles, fat, tissues and ureter attached to the kidney are separated and the kidney is removed from your body along with your adrenal glands and lymph nodes. Your doctor then seals the incisions with sutures.

After the surgery, you will be taken to the recovery room and your vitals will be monitored. A small plastic tube (drain) will be placed to drain any fluid from the site of the surgery and your wound will be regularly dressed.

What are the risks and complications involved?

Like all surgical procedures, open radical nephrectomy involves a few complications, such as:

  • Bruising, bleeding and infection of the wound
  • Injury to the surrounding tissues
  • Lung collapse as the incision is made close to the ribs
  • Chest infection due to anesthesia
  • Pulmonary embolism (blood clots in leg that can travel to the lungs)

There are alternate minimally invasive/laparoscopic approaches to Radical Nephrectomy that can be availed of, but are restricted to selected cases only. Your surgeon will discuss your options with you based on your particular medical history. For further information regarding open radical nephropathy please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/