Back pielotomiya , pyelolithotomy , pielostomiya
Urology / / April 26, 2016
(method of operation)
course of operations. The kidney is exposed in the usual way.Sister takes the mirror to retract the kidney.The kidney is removed a few up.In this position the rear surface is exposed pelvis.Sister takes the long scissors, tweezers and preparovochnye swabs on a long holder.By manipulating these instruments, the surgeon exposes the rear surface of the pelvis.However, when separated from the adipose tissue of the pelvis should be borne in mind that in the presence of stones in the renal pelvis and pendunkulite (inflammation of the kidney tissue feet) it tight to the pelvis.Sometimes fatty tissue so dense and so is soldered to the pelvis, which is very difficult to blunt peeled it, and then we need to highlight it with a scalpel and scissors.Depending on the surgeon's instructions sister takes a scalpel or scissors.
After exposure pelvis sister takes a long needle holder with a needle and catgut №2.On the wall above her pelvis UPJ impose time taped.Clearanc
by performing pielotomii manages to penetrate the pelvis.If you have removed the last stone, and then the operation is called "pyelolithotomy".
clip to extract the stone introduced into the pelvis and open its jaws;with open jaws tool is introduced deep into the pelvis.Stone backward motion capture and gently withdrawn to the wound.After that, the wall section of pelvis impose nodal catgut sutures.The kidney was placed in his bed.To cut a thin pelvis fed drainage tube (diameter 3 mm).The wound was sutured in layers around the drainage tube.The tube is fixed to the skin with two silk ligatures.
If you have mild bleeding from the pelvis pielotomiyu pielostomiey finish.In this case, through an incision in the wall of the pelvis pelvis cavity drainage tube is introduced.It is fixed to the wall of the pelvis catgut thread.Then the incision is sutured with interrupted sutures pelvis or a continuous catgut suture.To cut to the pelvis is fed a thin drainage tube and the wound is sutured in layers around the tubes.The tubes are fixed to the skin with silk thread.