[Clinico-morphological value of modified nephropexy method].
We have observed 28 patients operated by modified method of nephropexy. Principle of this method is the fixation of kidney on 11 or 12 rib with silk floss #5 or #6. Floss is passed subcapsularly around lower pole of the kidney and separately on anterior and posterior surfaces. Duration of the operational intervention was 40-50 min. On the second day after the operation patients were permitted to walk. On the long-term follow-up on 5 months to 6 years, we have studied 24 patients. All of them felt themselves healthy. Second look excretory urography showed no recurrence of nephroptosis. Animal experiment was performed in 5 rabbits and 5 rats. The same operation was carried out on these animals. After 2-6 months kidney and surrounding tissue near used silk floss was studied. Fibrous capsule at the places of floss passing was thickened. Parenchyma of kidney was without changes. There was weak inflammatory reaction in the tissue around the kidney near the floss, which was disappeared at the end of the observation. We propose to introduce this modified method of nephropexy in routine practice of urological surgery.
Dzhaparidze
S S
SS
Department of Urology, Tbilisi State Medical University, Georgia.
Dzhaparidze
S A
SA
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013514:Surgical Procedures, Operative / Q000379:methods* / Q000592:standards*; D014567:Urography