Post Date December, 03 2023
Kidney is a person's fountain, how to protect the kidney and how to treat kidney disease is a topic that most patients pay close attention to. Because the kidney directly affects people's overall health and quality of life. Hydronephrosis is a headache for patients with kidney disease. Let's introduce the treatment methods for hydronephrosis.
1。 Local treatment: Local treatment can be used to solve the lesions at the obstructive site, such as adhesion separation, fiber cord cutting, vascular displacement and anastomosis, stone removal, etc. If local compression is too long and local development of the ureter is severely damaged, this segment of the ureter should be resected and anastomosed.
2。 If the obstruction has caused severe hydronephrosis, fistulation and drainage should be performed first.
3。 Plastic surgery: The key points of plastic surgery must be mastered:
Make the ureteropelvic anastomosis at the lowest point of the renal pelvis;
To reduce anastomotic leakage, double pigtail catheters can be placed. To avoid scar fibrosis around the anastomotic orifice due to urine leakage and hemolysis, a negative pressure suction tube can be placed outside the anastomotic orifice for adequate drainage;
The ureteropelvic anastomosis should form a funnel shape;
Remove the excess pelvic wall and maintain a certain pelvic tension. If hydronephrosis is too large, the thinner renal cortex can be folded inward and fixed to reduce the intrarenal volume;
During repair, the surrounding fibers, adhesion, and scar tissue should be removed, but the blood supply should not be damaged;
There are many methods of plastic surgery, but currently, from the perspective of etiology and pathology, it is considered that it is better to resect and anastomose the diseased segment.
