Doctor insights on:
Kidney Blockage Surgery Procedures
Surgery for intestinal blockage and the doctor stated gangrene- could u explain surgery procedures please?
See below: Internal scar tissue inside the abdomen can cause an intestinal blockage. If a segment if intestine twists around the scar tissue sometimes that segment of intestine can die & become gangrenous. That bad segment of intestine would be removed & the good intestines reconnected. ...Read more
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
I am going in for a blockage on my right kidney I am stage 4 renal failure w/ coranary artery disease and am going in for a surgical procedure remove a 60% blockage on my right kidney and 2 large stones on my left how serious is this procedure
Very important: Most important is to understand that with stage 4 renal failure and coronary artery disease you are fairly likely to develop kidney failure in the future. The question is how long. Your job is to address factors in your control such as weight, blood sugar, blood pressure, medications, smoking. The procedure sounds like it is not "open", and will use balloons + lithotripsy. Some risk but reasonable. ...Read more
Acute renal failure after hysterectomy becuase of uterine cancer. Is this normal after a hysterectomy? Problems after surgery, dec 2011, mother 62, now renal failure. Kidney doctor found blockage causing the kidneys to fail.
Assuming that your mother did not have chronic renal disease going into surgery, then the prognosis for recovery of kidney function will depend on the reason for the acute injury. Most often acute renal failure is due to a period of low blood pressure, where there is not enough blood pressure to perfuse the kidney which results in something called acute tubular necrosis. There are varying degrees of this, which should improve once the blood pressure stabilizes, in some cases, hemodialysis may be necessary to support the kidney until this recovers. Another potential cause though, particularly in uterine surgery, is injury to the ureters, sometimes due to the extent of the tumor or difficulty in removing the uterus. As you mention that the kidney doctor said a blockage was found, this may be a contributing factor, but usually is known prior to surgery. Other causes (unlikely here) may relate to drug toxicities, for example antibiotics or chemotherapy related.
In general, if the patient goes into surgery with good kidney function, the prognosis for recovery is good once all the inciting factors are removed. ...Read more
Risk in any surgery: All surgeries/procedures are inherently risky. As with any surgery, there is a risk of wound infection, bleeding, pain and even death. However, because transplant surgery requires immunosuppression, the risk of developing infection is higher than other procedures. Hence, potential kidney transplant recipients are extensively screened before being allowed to proceed with transplant surgery. ...Read more
Nephrectomy: Firstly, u need to be tissue typed to see if you are a good match for the recipient, then u must be worked up to ensure that you have 2 healthy kidneys and can afford to lose one. The nephrectomy can be done by laparoscopic assist & removed via a small incision just lerge enough to remove kidney. About 2 days in hospital for pain management, then couple of weeks off. ...Read more
Post surgical, yes: There is likely some relatively minor pain associated with the surgical area of incision in order to gain access to the carotid artery. Of course, that is if an endarterectomy is performed. If an intra-arterial procedure is done to clean the carotid artery by a radiologist then, there could be a bit less pain since the incision would be much smaller in the arm or groin. ...Read more
If carotid stenosis,: I would highly recommend consideration of a stent or enarterectomy, but if you are referring to other blood vessels supplying the brain, medication may be far more appropriate. ...Read more
See below: After removal of one kidney, the other kidney manages to continue working at roughly half the total rate, and over time if it was healthy to begin with may take over extra 15-20% function. ...Read more
Surgery on Kidney: Kidney surgery can be performed through an open abdominal, flank or back incision, also percutaneous, laparoscopically, hand-assisted laparoscopic surgery or robot assisted surgery. Surgery can be reconstructive as repair for ureteropelvic junction obstruction + hydronephrosis, removal of part or entire kidney for kidney tumors or non-functioning or abcessed kidney, or percutaneous stone removal. ...Read more
Be healthy: It is important to be as healthy as you can be before any major surgery. Usually the surgeon will do a number of imaging studies to get prepared and know your blood vessel anatomy. You will also need to be cleared regarding your lungs and heart to be sure it is safe to proceed. Keep a good attitude and stay upbeat. Avoid alcohol and other medications that cause bleeding or thin the blood. ...Read more
No: It is not common to gain weight after kidney surgery. The most common reason would be from all the IV fluid received during the procedure and while in the hospital. Without knowing more details about the surgery it is hard to give a more specific answer. ...Read more
Double kidney: Means kidney has 2 separate collecting systems, urine funnels draining into separate ureters. 2 ureters may join before reaching bladder or end separately down below & usually into bladder. Can B normal variant occurring in 1% of population & no surgery. Sometimes associated with other abnormalities i.e. blockage of upper ureter, ending in urethra or vagina, ureterocele or lower ureteral reflux ...Read more
I have fsgs that is currently active. Is surgery for my lower spine too much for my kidney's, right now?
Probably not: There are at least 6 different subtypes of fsgs (focal-segmental glomerulosclerosis) that pathologists can distinguish; you have a right to know which kind and the likely outcome. It's likely to be a lifetime problem and if you need the surgery & it's okay with your physicians, this might be the best time to do it. Good luck. ...Read more
How long till I can shower after a perc kidney surgery? Average time till the weeping at surgical site should stop?
Answer Varies: If you are talking about placement of a percutaneous tube into your kidney, you can typically cover them and shower immediately. Some docs will allow you to shower right over exiting tubes and drains. If they are laparoscopic wounds, typically ok after a day or two. "weeping" seems like a lot of drainage. Should have settled in 2-3 days after surgery. You need to check with your surgeon. ...Read more
Options: Several options are available, including a stent, bypass, or other options. You need to see a vascular surgeon or urologist to discuss them. ...Read more
No: Check your electrolyte status with nephrologist or endocrinologist. ...Read more
Common in thin women, the excessive mobility you describe often resulted in surgery to "tack" the kidney up in the past.
The pain comes on when the kidney is able to drop down on standing, kinking off the ureter and resulting in dietl's crisis. If other more common causes (stone, chronic infection, obstruction or other organ systems) then a laparoscopic tacking (nephropexy) can be performed. ...Read more
Depends: If only to treat the endometriosis, would try medical management first. If the endometriosis is not symptomatic then I would not recommend surgery. If the surgery is for something related to the kidney, then the endometriosis should probably not be a block to operating on the kidney. ...Read more
For what?: It is extremely rare to need surgery on a rib for a fracture, especially when it is just a single fracture. The main exception to this is if it is badly displaced and has punctured a lung or vessel; and then it is considered an emergency and there really is no choice. All that being said, if your single kidney has normal function most surgeries are reasonably safe. You should check with your md ...Read more
Stolen kidney: First of all, that would be HIGHLY illegal in the US! If you are seriously concerned that your kidney was removed, have your surgeon or primary physician order an abdominal ultrasound and you will instantly be relieved. ...Read more
Can't say.: Surgery may be the most appropriate option depending on the size and location of the kidney stone. Depending on the chemistry of your urine, medications and dietary modification may help prevent further stones from forming, but your doctor should help determine whether your current stone can be passed without intervention, if lithotripsy is possible, or if it requires surgical removal. ...Read more
Agiomyolipoma: The recovery should be fast if laparoscopic or Robotic Surgery is offered, but a 2.5 cm Agiomyolipoma does not need to be operated on and could be safely observed. ...Read more
When getting ready for surgery to remove a blockage, am I supposed to continue to take blood thinners?
Can 9mm stone in kidney pipe come out without surgery? I have one in my kidney pipe. Please b sure with answer..
It likely will come: Small stones (under 10mm) can come out but often cause much pain (colic) while drifting down towards the urinary bladder. Drink lots of liquids, that might facilitate its exit. If you experience a colic be sure to have some pain medicine at home and easy access to your urologist, who is probaly looking after you at present (otherwise get one). ...Read more
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