ON THE PROBLEM OF NEPHRECTOMY, SUTURE AND EXPLORATORY EXPOSURE OF THE KIDNEY FROM TRANSPERITONEAL APPROACH WITHOUT PERITONIZATION OF THE OPERATION SITE
Article published in Urologia Polska 1984/37/3.

authors

Lech Cerkownik, Andrzej Musierowicz, Ryszard Cieslik, Andrzej Łabędzki, Jerzy Stabiszewski, Aleksander Miłkowski

Z Oddziału Urologicznego Szpitala Wolskiego w Warszawie
Kierownik Oddziału: doc. dr hab. med. A Musierowicz Z Oddziału Chirurgicznego Wojewódzkiego Szpitala w Przemyślu
Kierownik Oddziału: doc. dr hab. med. R. Cieślik
Z Oddziału Chirurgicznego Wojewódzkiego Szpitala w Łomży
p. o. Kierownik Oddziału: dr med. L. Cerkownik

summary

Clinical evaluation is reported of 27 patients, including 9 with renal carcinoma, 10 with trauma, 7 with Pyonephrosis, 1 with hydronephrosis and 1 with renal artery embolism, in whom the parietal peritoneum was not sutured after operations from anterior approach. Nephrectomy was performed in all patients with renal carcinoma and Pyonephrosis, and in some patients with trauma, hydronephrosis, renal artery embolism and gunshot wound of the abdomen. After trauma the kidney was sutured in 4 cases and in 3 cases the retroperitoneal space, kidney and ureter were checked during operations for injuries to other organs. Two patients died. In the remaining 25 cases the postoperative course was uneventful. In the light of an analysis of these cases it may be supposed that suture of the peritoneal defect after operations on the kidney from transperineal aproach is not necessary since no early and late complications were observed.

references