Lower pole divergence of kidney: a new surgical technique to prevent recurrent renal calculus.
Gravity and natural position of the kidney have emerged as important factors in the nucleation, growth and postoperative recurrences of renal stones. A new operation technique is described to alter the position of the kidney, hence countering all obstacles to urinary flow. Recurrence of stones after the new operation (8.1%) were compared with controls (15.0%). Recurrence rates revealed from history data at two years (15-28%) and life-time recurrences deduced therefrom (25-80% or more) were used for comparison. Postnephropexy figures were 5.97% and 10-25% respectively. It strengthened our belief that to check inevitable postoperative recurrences, this new operation should be applied whenever open surgery is performed for nephrolithiasis.
Singh
J P
JP
Department of Surgery, Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Sood
R
R
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007669:Kidney Calculi / Q000503:physiopathology / Q000517:prevention & control* / Q000601:surgery; D007670:Kidney Calices / Q000503:physiopathology / Q000601:surgery*; D007682:Kidney Pelvis / Q000601:surgery*; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D011187:Posture; D012008:Recurrence