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Pyeloplasty Surgery


Pyeloplasty Surgery

Relevant information about Pyeloplasty Surgery.


  • What does the surgery consist on

Pyeloplasty is a kidney surgery that consists on the reconstruction of a damaged ureter and renal pelvis. It can be a congenital problem or the result of deformation caused when the urine is built up in the urinary system. Pyeloplasty is used in cases where the patient has a disorder related to the urinary system, such as, kidney tumors, kidney stones and urinary retention. There are other injuries that can appear in the ureter and kidney and they are a consequence of the hydronephrosis. It can make a negative effect in the organs causing the deformation of the renal pelvis, kidney and ureters.  

 

  • Which problem does the surgery solve

  Pyeloplasty is used to solve several problems that are originated and affect the urinary system. There are several diseases and disorders that can be solved by performing a pyeloplasty. This type of surgery is well known and has been gaining popularity over the last few years, because of its high rate of success (almost 96%). Nowadays patients prefer undergoing a minimally invasive robotic pyeloplasty, because it assures small incisions, a shorter period of healing of the wounds and less bleeding and pain.  

 

  • How is the surgery performed

  There are a few methods of performing a pyeloplasty; the two more renown are: a laparoscopic pyeloplasty and a laparoscopic robotic pyeloplasty. A laparoscopic surgery will remove the offending as well as it will repair any damage in the kidney. The main difference between a laparoscopic surgery and an open surgery is that in the last one, the surgeon has to do a big and large incision on the abdomen of the patient, while in the first one; the surgery is performed by making small incisions. On a laparoscopy surgery, the patient will have to stay less time in the hospital, and he/she will not have a high loss of blood. Another two advantages are a less risk of having an infection and fewer amounts of scars. Laparoscopic method is highly innovative because the surgeon manipulates all the instruments by passing them through small incisions and by viewing images (which are reproduced by a laparoscope that is a small camera) in a special monitor. Laparoscopy method is gaining a lot of terrain, mainly because of its high rate of success, which of 95%. Many surgeons around the world are learning about this technique and are developing many skills related to the laparoscopic surgery. 

The laparoscopic robotic pyeloplasty is performed by the use of a new machine that is called da Vinci surgical system.  This is a system of modules that allows the surgeon to take the control of the laparoscopic instruments at the same time as they have a 3d viewing in a high definition monitor. One of the chief features is that the robot is able to articulate the instruments in 360 degrees.  This technique is also becoming popular and in some cases replacing the laparoscopic method, many hospitals are acquiring the da Vinci system.    

 

  • Surgery length: The surgery is estimated to last from one to two hours. The operation will be performed under general anesthesia. It is probable that before the operation, the patient will be taken to a pre operative room where a nurse will make tests and will control the blood pressure of the patient. Once the patient is prepared he/she will enter to the operating room. Depending on the development of the patient, the surgeons will decide if he/she should stay or leave the hospital. In the majority of the cases, patients are allowed to leave the clinic the same day of the operation, always accompanied with a direct relative.

 

  • How is the post surgery process

  The post surgery process is not complicated as it is a less invasive surgery. This type of surgery brings many advantages related to the recovery of the patient. First of all, the recovery time is much shorter than in an open and classical surgery. This is due to the small size of the incisions which heal in a shorter period of time. Bleeding is usually an uncommon risk, because shorter incisions do not allow the pass of large amounts of blood. Normal activities will be resumed after one week from the operation, among them we can find, going back to work, driving, etc. Doctors recommend resuming physical activities after two months from the operation, to be sure that the wound have closed properly. If the patient feels unusual pain after one week from the operation it is quiet important to notify the doctor about any abnormal situation. In these cases, doctors give prescript medications that will relief the pain.  

 

  • Possible complications

  As this is a less invasive surgery, complications are fewer than in an open surgery. Among them we can find the risk of having an infection and a possible adverse reaction to the anesthesia. However these risks, practically do not appear and there is a low average of complications during and after the surgery. If the patient notices symptoms of a possible infection (redness around the incisions, severe pain), it is essential to warn the doctor about the situation, he/she will determine if the patient will need an additional medication that can be an antibiotic. To prevent an adverse reaction, the anesthesiologist or surgeon will ask routine questions and will make a few tests in order to determine if the patient is allergic to a specific component.    

 

  • What does the surgery do

  The surgery will radically improve the normal function of the urinary system, by giving back the common features that it had. The patient will be able to enjoy in a different way, without suffering pain and using the entire potential of his/her body. 

 

  • What does the surgery not do

  The surgery will not remove any organ of the urinary system. This occurs in severe cases where the patient may need an extraction of a kidney or a transplant of this organ.  

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