Nephrostomy - imposition of renal fistula
Urology / / August 12, 2017
(method of operation)
course of operations. When applying nephrostomy drainage tube is introduced through an incision in the pelvis of the last wall.To do this in the usual way expose the rear surface of the kidney.Sister takes the scissors, tweezers and long preparovochnye tampons.With these tools the surgeon exposes the rear surface of the pelvis.By this time, my sister prepares and delivers 2 small needle catgut very small size (№0-2).The surgeon puts 2 taped on the wall of the pelvis.Sister takes the eye pointed scalpel and taped between the wall of the pelvis is dissected.Before dissection of the pelvis should be included suction to remove the contents of the pelvis.Sister gives further clamp Fedorov or Satinsky or curved mother probe.Beak clip sent to the lower or middle pole of the kidney parenchyma and punched up the capsule.As soon as the tip of the beak clip appears under the capsule, the sister takes a scalpel and dissect the kidney capsule of the beak.Branche out
By this time his sister should be ready drainage tube diameter of 6-8 mm, which are cut out oval hole diameter of 3 mm on the lateral surface, indents 3-4 mm from the edge of the tube.Once the tip of the clamp Fedorov displayed outside the parenchyma, its jaws more diluted, and sister takes the drainage tube end, which caused the foramen ovale.The end of the tube between the jaws grip.Reverse the motion clip output to a pelvis injury.Sister takes the suture on the needle.This catgut through the foramen ovale is sewn derived end of the rubber tube to secure it and monitoring it during the introduction of the reverse pelvis.Thereafter, the surgeon, sipping the free end of the tube, sets under the control of the eye with the oval end of the drainage hole in the pelvis.Operating sister takes the needle and catgut №4 tube fixed to the parenchyma and renal capsule Z-shaped suture.Read the suture from the end of the tube, which is in the pelvis.Then sister takes on the needle and suture №0 pelvis sutured 3-4 nodal catgut sutures.Sister takes the cellophane, gauze and a drainage tube that the surgeon leads to the pelvis section.Then the wound is sutured.