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Medicine Nephrectomy Physiotherapy Surgery

Brief Note on Nephrectomy

In this article we will discuss Brief Note on Nephrectomy

In this article, we will discuss Brief Note on Nephrectomy. So, let’s get started.

Nephrectomy

It is the removal of the kidney through surgery

Approaches
• Lumbar approach (common) – oblique from 12th rib angle to ASIS
• Through the 12th rib
• Nagtamatsu incision (hockey stick manner)-12th rib removed extends upto 10th rib
• Trans peritoneal approach

Indications
• Renal tumours
• Tuberculosis (TB)
• Hydro nephrosis
• Calculi
• Hypertension (HTN)
• Haemorrhage
• Pyogenic infection

Complications
• Complications of any surgery such as heart attack, heart failure, stroke, pneumonia, blood clots in the legs and pulmonary embolism (blood clot to the lungs).
• Injury to the stomach, small bowel or large bowel.
• Tears of the liver
• Injury to the spleen.
• Injury to the pancreas with pancreatitis.
• Bowel obstruction may occur.
• lleus (temporary loss of bowel function).
• Haemorrhage, which may be severe,
• Pneumothorax (puncture of the lung).
• Infection.
• Temporary loss of renal function of the other kidney.
• Incisional hernia

Treatments
The patient may undergo the following therapies along with surgery to treat the condition holistically.

Therapies may include:
• Chemotherapy
• Radiation therapy
• Immunotherapy

Physiotherapy
• Regular and routine physiotherapy preoperative and postoperative regime.
• Complication based physiotherapy treatment protocol.
• Individualized physiotherapy treatment plan.
• Bed rest complication management.
• Exercise program for improving deconditioning effects.
• Principles cancer rehabilitation used.

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