Kidney Removal-nephrectomy – Partial and Total

Removal of kidney becomes inevitable when it is defective or cancerous as it can cause difficulty to the other kidney which may be functioning normally. Damaged kidneys may produce problems like urinary tract infections and high blood pressure.

Laparoscopic procedure for the removal of kidney (Nephrectomy)

Almost all operations involving kidney can be carried out through minimally invasive laparoscopic procedures which needs only 3 to 5 keyholes which are of the size 6 mm only. Laparoscope and other special instruments for carrying out the surgery are inserted through these key holes and are guided carefully till they reach the surgical spot. Laparoscope is an instrument with a telescope and a camera on one end of a long flexible tube. The other end of tube is connected to a TV. The videos of the internal organs and the surgery are taken by this telescope and they are displayed in the TV placed in front of the surgeon. By watching these videos the surgeon carries out the surgery controlling the instruments with the help of its controls which are available near the surgeon.

Benefits of laparoscopic procedure

As the incisions are smaller there will be less pain and the healing of the wound will be faster.
The recovery and return to normal activities takes place at a faster pace.
Even though the surgical costs may be little higher the overall costs will be lesser as the hospital stay and other overheads will be lesser in this case.

Preparations for surgery
The patient’s medical fitness for the surgical procedure and anesthesia will be checked one or two weeks prior to the surgery date. Purgatives will be given on the previous day and in the morning of the scheduled date of surgery. Hair would be shaved from the chest to the thigh.

Date of surgery

You will have to fast for a few hours before the surgical procedure. Usually this is for a period of six hours. However, period of fasting will be decided by the anesthetist based on facts like patents health and other relevant matter. Surgery may take 3 to 4 hours for completion. After the completion of the surgical procedure the patient will be removed to the recovery room where he will be under intensive care. A urinary catheter will be inserted into your bladder for passing urine. One person will be allowed to visit the patient in the post operative ward.

Post operative care

In some cases the intestines will not be active for one or two days and in such cases the surgeon will require the patient not to eat anything through mouth during this period. On the first day after the surgery the urinary catheter will be removed and you will be able to walk to toilet without anybody’s help. On the second day of surgery the patient will be allowed to eat the normal diet, if everything is okay. The patient will be allowed to go home on the fourth day of the surgery. If any stitches needs to be removed it will be done after 10 days as an outpatient activity.

At home

You can take bath in a shower. But the patient is not allowed to bend and take water to pour on his head. The patient should not engage himself in any strenuous activity for at least 10 days after the surgery. The patient will be able to return to his job and other routine activities at about two weeks after the surgery.