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Doctor insights on: Nephrectomy Post Op Care

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Can you list the key lab results I should be monitoring in a f 70y/o, 2nd day post op pt after a partial nephrectomy w/ renal cell ca.?

Can you list the key lab results I should be monitoring in a f 70y/o, 2nd day post op pt after a partial nephrectomy w/ renal cell ca.?

Bun, creat, cbc: Monitor renal function (bun, creatinine, potassium or bmp 7) and CBC to make sure he is not bleeding post op assuming that there are no other abnormalities due to other conditions. ...Read more

Dr. Richard Link
1,057 Doctors shared insights

Nephrectomy (Definition)

Surgical removal of kidney for ...Read more


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I am 9 weeks post op for renal cell carcinoma (partial nephrectomy) and I have a jp pump and a nephrosty tube. For how long?

I am 9 weeks post op for renal cell carcinoma (partial nephrectomy) and I have a jp pump and a nephrosty tube. For how long?

Await healing leak: Having a nephrostomy tube and jp drain for 9 weeks after a partial nephrectomy would be very unusual. I assume that this was because of a urine leak after surgery? Urine leaks, while rare, can occur, particularly if the tumor was large or very central in the kidney. However, your course is unusual and I would recommend you ask your surgeon specifically what the long term plan for management is. ...Read more

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What to expect for pre-op for nephrectomy surgery?

What to expect for pre-op for nephrectomy surgery?

PRE-OP NEPHRECTOMY: Many doctors have many different preps. If the tumor very large a bowel prep is sometimes needed. ...Read more

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Severe but discontinuous pain in right kidney (had left nephrectomy 3 mnt ago)& back of the place of operation. Taking 2 cetamol500mg. Reason & cure plz?

Severe but discontinuous pain in right kidney (had left nephrectomy 3 mnt ago)& back of the place of operation. Taking 2 cetamol500mg. Reason & cure plz?

May be... and...: Do you mean severe sharp but intermittent pain? The expected post-operative pain in the incision will usually &gradually fades within 2-4 weeks although that in few may last and linger to a highly variable duration. But if the pain after incisional pain described is intermittent, sharp, unpredictable, or physically related, one needs to think about possible nerve entrapment-related pain. Ask doc. ...Read more

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Left kidney nephrectomy. After 3 months, pain in the place of operation at night and sudden jerk in left leg (like current shock).Is it normal?

Left kidney nephrectomy. After 3 months, pain in the place of operation at night and sudden jerk in left leg (like current shock).Is it normal?

Probably: Likely just normal "healing." what incision did you have? A flank incision may have transected a nerve that is now regenerating. You may want to consider a follow up ct kub to assess for a fluid collection/lymphocele. ...Read more

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Is nephrectomy a very common procedure?

Is nephrectomy a very common procedure?

Nephrectomy: It is done quiet often by urologists. They have many ways of doing it, including robotically, traditionally with an incision and even laprascopically (small incisions using a scope and other tools). ...Read more

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What does it mean to have a partial nephrectomy?

What does it mean to have a partial nephrectomy?

Only part removed: A partial nephrectomy is when only part of one kidney is removed. A while ago it was standard to simply remove the entire kidney. Medical knowledge and surgical techniques now allow us to remove only the area of concern. This leaves you with more total kidney tissue and thereby more kidney function (cleaning capability) after the procedure. Good luck. ...Read more

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What can one expect from a laparoscopic nephrectomy?

Small scar: Laparoscopic nephrectomy will result in small scar, minimum pain, early discharge from the hospital, just as safe as open nephrectomy. ...Read more

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What are the effects of a partial kidney nephrectomy?

What are the effects of a partial kidney nephrectomy?

Depends: A partial nephrectomy is becoming the new standard of care for tumors that can be manage this way. Patients on the long run do better and minimize their risk of developing kidney disease as they age. Partial nephrectomy is challenging & has the potential for more complications than a nephrectomy. Risks include bleeding, urine leaks, loss of function on that kidney, tumor recurrence to name few. ...Read more

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Anesthesia options during a partial or full nephrectomy?

Anesthesia options during a partial or full nephrectomy?

You'll have: General anesthesia. These are typically done laparoscopically, but if it will be open, you might also ask for an epidural for post op pain relief. ...Read more

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Urine has become slightly cola colored 6 years after nephrectomy. Should I be concerned?

Urine has become slightly cola colored 6 years after nephrectomy. Should I be concerned?

DARK urine=blood: Cola colored urine is a sign of blood. This certainly needs to be checked out soon. Be prepared to give a 'clean catch urine' in the doctors office for analysis. You may need a cat (ct) scan for further evaluation of your urinary tract as well as follow up with your urologist. ...Read more

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If one has a pretty bad cold and has a nephrectomy coming up in a week, is it wise to go or no?

If one has a pretty bad cold and has a nephrectomy coming up in a week, is it wise to go or no?

An upper respiratory: Infection should be cleared up prior to elective and semi-elective surgery. Having a URI during anesthesia can lead to intra-op complications like bronchospasm and respiratory collapse and post-op complications like pneumonia and prolonged intubation. Consider a preop course of antibiotics if appropriate. ...Read more

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What type of surgeon does nephrectomy?

Urologist: In a large city or academic medical center, most nephrectomies are performed by urologists. Within urology, there are particular sub specialists who focus on kidney surgery including minimally invasive options. Transplant surgeons and vascular surgeons can also occasionally remove kidneys. In a more rural setting, a general surgeon may be the one performing this procedure in the absence of urology. ...Read more

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What causes hypertension after bilateral nephrectomy?

See below: After bilateral nephrectomy, you would need some form of dialysis or transplant, as lack of kidney function leads called CKD leads to higher blood pressure
besides salt excess, increase hormonal influences like increase angiotension and catecholamines also cause hypertension. ...Read more

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What exactly is a partial nephrectomy?

Kidney surgery: Partial nephrectomy refers to surgical removal of part of the kidney, usually because of a small tumor/abnormal growth of the kidney. A radical nephrectomy (total kidney removal) is done for larger tumors, or if the partial nephrectomy is not technically possible. ...Read more

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Is it possible to have a partial nephrectomy?

Yes: Depending on the size and location of the kidney mass, a partial removal of the kidney cancer is a very good option to help preserve the remaining good kidney tissue. This has in fact become the mainstay of treatment for many tumors and the long-term data shows good cancer control with partial removal versus removing the entire kidney, which was the traditional type of surgery in the past. ...Read more

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What are the risk for having a radical nephrectomy?

What are the risk for having a radical nephrectomy?

MANY: The risk of any major surgery: bleeding, infection, scar, anesthesia risks, death. ...Read more

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What does it mean tohave an open radical nephrectomy?

Nephrectomy: " open" means a procedure performed through a relative large incision. Radical means they will remove not only the target organ ie kidney but also some surrounding tissue such as the fatty tissue surrounding the kidney along w lymph nodes. Radical surgery is recommended when there is a cancer concern. ...Read more

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What is the definition or description of: nephrectomy?

Removal of kidney: Surgical removal of kidney for any number of causes. ...Read more

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What are some complications to look out for after a laparo radical nephrectomy? Risk factors?

Lap nephrectomy: Contrary to popular belief, laparoscopic organ removal has about the same complication risk as open surgery. Internal bleeding, infection, pneumonia, blood clots and incisional hernias can occur in both surgeries. Most young/healthy patients do well after either surgical approach. ...Read more

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How dangerous is a laparoscopic nephrectomy surgery?

Depends: As long as your operation is done by an expert, it should be safe. Ask your sugeon how many he/she has done and about past results. It can be a very safe operation in the right hands. ...Read more

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What can cause hypertension post bilateral nephrectomy?

What can cause hypertension post bilateral nephrectomy?

Excess salt + water: With no kidneys dialysis is needed and excess intake and inadequate removal of salt and water during dialysis is the major factor that causes high blood pressure. ...Read more

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Will a new kidney function normally after just having a left and right nephrectomy?

Yes: I take it you are a recepient of a kidney transplant and your kidneys were causing harm to you so they were removed at the same time.
The new kidney will do the work of 2 as long as there is no rejection or infection. ...Read more

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What are the steps to take when a nephrectomy is preformed procedure wise? Dissection, anatomy to know, etc.

What are the steps to take when a nephrectomy is preformed procedure wise? Dissection, anatomy to know, etc.

Depends: If it is done through a laparoscope is different than a regular incision. Prep is easy - some wish to have a clean colon first. ...Read more

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I'm in rn school and having trouble obtaining information about the correct procedure for positioning a patient after a nephrectomy. Please help.?

I'm in rn school and having trouble obtaining information about the correct procedure for positioning a patient after a nephrectomy. Please help.?

It depends: It depends on where the doctor makes the incision and whether he/she is doing surgery lap, robotic or open. Campbell's urology, the definitive textbook on urology in your medical library should be a good reference. ...Read more

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What is post nephrectomy hematoma, and is it dangerous?

What is post nephrectomy hematoma, and is it dangerous?

Bleed after surgery: Hematoma is a collection of blood. Means that nephrectomy patient either continued to or started to bleed after kidney removal surgery. Can be dangerous with large or massive hematomas which may require transfusion to correct blood loss, or surgical exploration to tie of bleeding vessel/s. ...Read more

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How does a pain pump work after nephrectomy?

Depends upon type: Pain pumps are of varying types. Some use numbing medication and others use narcotics. ...Read more

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Had nephrectomy 15 years ago. I only have one normal funtioning kidney now, can I donate blood? Help

Had nephrectomy 15 years ago. I only have one normal funtioning kidney now, can I donate blood? Help

Probably: As long as your normal blood count is normal, you should be able to donate blood without affecting your kidney. But you should check with your nephrologist to be on the safe side. ...Read more

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Had nephrectomy 15yrs ago. I only have one normal functioning kidney now. Can I donate blood? Why yes and why not? Help

Had nephrectomy 15yrs ago. I only have one normal functioning kidney now. Can I donate blood? Why yes and why not? Help

Here are some. ..: Living with an acquired solitary kidney like you is not a contraindication to donate blood as long as you're healthy with no blood-borne transmitted diseases like HIV, hepatitis - B & C, syphilis, etc. But some restrictions for such may exist among different countries. So, ask your local institutions for details. ...Read more

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Floating kidney very low in abdomen and some pain. What can be done for my friend? Had nephrectomy (or opperatian) 10 years ago, now loose again.

Floating kidney very low in abdomen and some pain. What can be done for my friend? Had nephrectomy (or opperatian) 10 years ago, now loose again.

You must be wrong: Friend's kidney was removed if s/he had a nephrectomy. Friend possibly had a nephropexy, which is a very controversial procedure. Friend should consult a reputable urologist to diagnose cause of pain. Kidneys do not become loose after 10 years. Friend might have an obstruction problem or else pain might have a non-renal etiology. ...Read more

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Is a transplant nephrectomy defined as the removal of a kidney transplant?

Is a transplant nephrectomy defined as the removal of a kidney transplant?

Yes: This is usually done if there is a serious infection/abscess in the kidney or if has failed. Sometimes, the failed kidney can continue to promote an inflammatory reaction in the body leading to fevers, malaise, and possible anemia. ...Read more

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After nephrectomy, my mom has been having a non productive cough. What does this mean?

Cough: After any surgery requiring general anesthesia a cough could be something minor like irritation from the intubation to something serious like a pulmomary embolus. Please check with her doctor. ...Read more

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If I had a nephrectomy due to renal dysplasia, but was told my remaining kidney was healthy, how often should I get my kidney checked?

If I had a nephrectomy due to renal dysplasia, but was told my remaining kidney was healthy, how often should I get my kidney checked?

Infrequently: Prognosis for normal health + life span is excellent. Solitary remaining kidney will provided more function than you need as has undergone so called compensatory hypertrophy. Avoui xs animal protein or added salt in diet. (good advice for everyone) annual blood pressure check and biannual blood creatinine check should more than suffice and can be performed by your primary health care physician. ...Read more

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Normal recovery time for partial open nephrectomy? Experiencing bulging and numness. Surgeon was able to save the nerve that is frequently severed.

6-9 mo: The nerve was manipulated even though it was saved. The muscle needs recovery also. Saving the nerve is encouraging for full recovery. These sxs are very common post-operatively. ...Read more

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Causes of blood +1, ketone +1.5, in one sided nephrectomy patient, non diabetic?

Causes of blood +1, ketone +1.5, in one sided nephrectomy patient, non diabetic?

Urine findings: Ketones, in the absence of glucose, in a urine analysis are an indication of starvation and are nothing to worry about. Blood in the urine (b) can be due to various factors. Among them are, a uti, kidney stone, bladder or kidney cancer and glomerulonephritis, among others. If the b in the urine persists and is not due to a uti, see a urologist for its diagnosis. ...Read more