Postpyeloplasty Procedure

After completion of the anastomosis, a Jackson-Pratt drain is left to bulb suction drainage via a lateral trocar site. Careful inspection of the surgical site is performed at low pressure to ensure good hemostasis. Cautery and hemostatic agents can be utilized to deal with nuisance bleeding. More significant bleeds may require suturing or clip application. In transperitoneal cases, some surgeons will reretroperitonealize the kidney by taking the colon back to the line of Toldt at the end of the case.

After the abdomen is desufflated and the gas expelled, the port sites can be closed under direct vision externally with a 2-0 polyglycolic suture if the patient is fairly thin and the fascia visible. With obese patients, a special port closure device such as the Carter-Thompson needle or CloseSure‚ĄĘc system can be used.

Keep Your Weight In Check During The Holidays

Keep Your Weight In Check During The Holidays

A time for giving and receiving, getting closer with the ones we love and marking the end of another year and all the eating also. We eat because the food is yummy and plentiful but we don't usually count calories at this time of year. This book will help you do just this.

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