Cyst de-roofing decompression

Decompression of bilateral congenital polycystic kidney disease, according to the patient's tolerance to surgery is divided into two phases of surgery or one-stage bilateral surgery. Treatment of diseases: polycystic kidney disease Indication 1. Patients with stage I and II disease are eligible for cyst decompression. 2. Young patients with severe comorbidities, such as refractory low back pain, high blood pressure and stones complicated with urinary tract obstruction. Contraindications 1. Elderly patients with significantly reduced renal function. 2. Elderly patients with severe hypertension. 3. Uncontrollable severe hematuria and those with a tendency to severe bleeding. 4. Combined with tumors and tuberculosis. Preoperative preparation 1. Detailed examination of the condition and determination of the degree of renal impairment. 2. Understand the type, nature, extent and extent of comorbidities in order to perform reasonable treatment. 3. Prepare blood 300~600ml. 4. When the infection is concurrent, antibacterial drugs are used to control the infection. Surgical procedure Incision A unilateral surgeon may choose a lumbar oblique incision or an eleventh intercostal incision; for bilateral first-stage surgery, a transabdominal transverse incision is performed through the abdominal cavity. 2. Cut cysts After fully dissociating the kidney, surgically cut off the top of the cyst on the surface of the kidney and drain the fluid from the capsule. Or use an electric knife to cut off the transparent part of the top of the cyst. The same treatment should be performed after the removal of the surface cyst wall revealing the deep cystic top. 3. suture the incision, place drainage Place the kidneys in place and place a rubber tube drain around the kidney. The waist incision is sutured layer by layer. For example, after abdominal surgery, the posterior peritoneum is sutured, and the rubber tube drainage is taken out from the left and right lumbar small incisions. complication Incision infection Less common. Due to the low resistance of the patients with polycystic kidney disease, anemia or infection due to cysts, kidney circumference and wound contamination are caused. Use antibiotics after surgery to keep the drainage smooth, and prevent infection. 2. Renal dysfunction More related to anesthesia, surgical trauma, and more can be recovered in the near future.

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