Open Partial Nephrectomy

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Open Partial Nephrectomy

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What is Open Partial Nephrectomy?

Open partial nephrectomy is a procedure in which part of the kidney is removed along with the surrounding tissue (normal), and the kidney is rebuilt for normal functioning. The main aim of this surgery is to save the functioning part of the kidney as much as possible as kidneys are the primary filters of the body.

What are the Benefits of open Partial Nephrectomy?

The benefits of open partial nephrectomy include:

  1. Lowest rate of severe complications (inadvertent kidney loss, postoperative bleeding)
  2. Only a specific part is removed, unlike radical nephrectomy where the entire kidney is removed
  3. Kidney functions are saved in case of individuals with one kidney or suboptimal kidney function

Who Needs Open Partial Nephrectomy?

Individuals with the following conditions need open partial nephrectomy:

  1. Injury 
  2. Cancer in kidneys 
  3. Damage by kidney stones
  4. Infection in kidneys
  5. High blood pressure since long causing damage to the kidneys
  6. Birth defects

What May Happen if Open Partial Nephrectomy is Delayed?

If the surgery is delayed, the condition may worsen, causing kidney failure

 

How is Open Partial Nephrectomy Performed?

Your surgeon will:

  1. Insert a urinary catheter to drain the urine out of the urinary bladder
  2. Make a cut on the side or abdomen between the lower ribs and the affected kidney side
  3. Block the blood vessel (temporary) that carries blood to the diseased kidney
  4. Remove the tumour along with a rim of healthy tissue surrounding the tumour
  5. Repair the kidney with stitches
  6. Restore the blood supply to the kidney 
  7. Seal the cut

The surgery can take three or more hours.

 

What to Expect Before Open Partial Nephrectomy?

Before the surgery of open partial nephrectomy, you must:

  1. Inform your doctor if you expect to be pregnant
  2. Tell them about the medicines, vitamins, supplements, or herbs you are taking
  3. Ask your doctor which medicines should be taken before and on the day of the procedure.

Your doctor will:

  1. Take your blood sample (if blood transfusion is required)
  2. Tell you to stop taking blood-thinning medicine such as aspirin, coumarin, naproxen, clopidogrel, etc.
  3. Explain you the procedure of the surgery
  4. Ask you to not smoke as it delays recovery.

What to Expect on the Day of Open Partial Nephrectomy?

You can expect the following on the day of surgery:

Your doctor will:

  1. Tell you when to come to the hospital
  2. Review your medications and history
  3. Ask you to complete the consent formalities
  4. Discuss the surgery in short with you
  5. Instruct to take medicines with a small sip of water

What to Expect During Open Partial Nephrectomy?

  1. Position during surgery: You will be made to lie on one side depending on which kidney is to be operated on.
  2. Cleaning and Draping: 
    1. Proper cleaning and draping will be done to protect your privacy and comfort.
    2. The doctor may inject heparin solution and give you a pair of TED (Thrombo-Embolus Deterrent) stockings to prevent blood clotting.
  3. Anaesthesia: The surgery is performed under general anaesthesia.

What is Recovery and Post Op Care after Open Partial Nephrectomy?

Depending on the procedure, you might stay in the hospital for one to seven days.

The recovery process in Hospital:

You will:

  1. Be told to sit on the edge of the bed and walk on the same day of your procedure
  2. Have a catheter or tube coming from your bladder to drain your urine
  3. Be told to do breathing exercises 
  4. Not be able to eat solid foods for one to three days 
  5. Told to wear compression boots, unique stocking, or both to prevent blood clotting
  6. Be given blood-thinning injections
  7. Be given pain-relieving medicines

The recovery process after hospital discharge:

You will:

  1. Be told to avoid heavy lifting and strenuous activity for six weeks after the surgery.
  2. Have pain in the surgical area which will subside over several weeks (pain-relieving medicines will be prescribed).
  3. Mostly completely recover after three to four weeks
  4. Be able to resume work at the end of the third to fourth week

First Follow Up Appointment

Your doctor will arrange your first follow-up appointment after seven to ten days to remove your stitches or staples.

 

When to Consult a Doctor?

Possible side effects that can occur after the surgery are:

  1. Breathing problems
  2. Blood loss
  3. Blood clots in the legs may travel to the lungs
  4. Reaction to medications
  5. Allergic reactions to anaesthesia (rare)
  6. Kidney failure (depends on the functioning of the remaining kidney) 

Risk/complications:

  1. Injury caused to other organs
  2. Hernia of your surgical area
  3. Kidney failure in the remaining kidney
  4. Infection in the surgical area, kidney, bladder, or lungs (pneumonia)

Expert Doctors for Open Partial Nephrectomy

Dr. Tarun Jindal

Dr. Tarun Jindal

Uro Oncology
7 years experience
99% Recommended
Dr. Suresh Kumar bajoria

Dr. Suresh Kumar bajoria

Kidney Transplant Renal Transplant, Urology
39 years experience
99% Recommended
Dr. Suresh Kumar bajoria

Dr. Suresh Kumar bajoria

Kidney Transplant Renal Transplant, Urology
39 years experience
99% Recommended
Dr. Anup Kumar Kundu

Dr. Anup Kumar Kundu

Urology
46 years experience
99% Recommended
Dr. Debashish Kumar Das

Dr. Debashish Kumar Das

Urology
17 years experience
99% Recommended
Dr. Ramesh Hanume Gowda

Dr. Ramesh Hanume Gowda

Urology
10 years experience
96% Recommended
Dr. Amit Kumar Kundu

Dr. Amit Kumar Kundu

Urology
11 years experience
99% Recommended
Dr. Amit Kumar Kundu

Dr. Amit Kumar Kundu

Urology
11 years experience
99% Recommended
Dr. Gopal Rathi

Dr. Gopal Rathi

Urology
15 years experience
96% Recommended

NABH Accredited Hospitals for Open Partial Nephrectomy

Siri Hospital

Siri Hospital

D-52, Sammilani Park 700075
Excellence in Urology
4.8/5
Narayana Multispeciality Clinic, Shimoga

Narayana Multispeciality Clinic, Shimoga

No 93, Ground Floor 577201
Excellence in Urology
4.8/5
Manipal Hospital, Kharadi

Manipal Hospital, Kharadi

22, 2A, Mundhwa - Kharadi Rd, near Nyati Empire 411014
Excellence in Urology
4.8/5
Asian City Hospital

Asian City Hospital

Behind P And M Mall 800013
Excellence in Urology
4.5/5
KMC Hospital Mangaluru

KMC Hospital Mangaluru

Dr B R Ambedkar Circle 560009
Excellence in Urology
4.8/5
Campbell Hospital

Campbell Hospital

11/A 560102
Excellence in Urology
4.9/5
Dr Mulay Superspeciality Hospital

Dr Mulay Superspeciality Hospital

Bhagwan Tatyasaheb Kawade Rd 411040
Excellence in Urology
4.5/5

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