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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
1,056 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