Surgical Technique Patient Preparation

Patients may be typed and crossmatched for blood and are given a dose of broad-spectrum antibiotics before the procedure. No specific bowel preparation is required. Patients undergoing laparoscopic nephropexy, like all other laparoscopic surgery, should have a general endotracheal anesthetic, because controlled ventilation is necessary to ensure adequate oxygenation and to avoid hypercarbia. A nasogastric tube is placed to keep the stomach and bowels decompressed, and a Foley catheter is inserted to allow drainage of the bladder prior to commencement of the procedure. Pneumatic compression stockings are applied to both legs.

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