FIELD: medicine; surgery; urology.
SUBSTANCE: at preoperative stage, sizes, shape, volume of the removed kidney with surrounding tissue are determined by CT diagrams. A bioinert individualized implant is made. After radical nephrectomy, the implant is laid in the bed of the removed kidney. The upper pole of the implant is fixed to the twelve rib, then, in the middle and at a level of the distal pole, it is fixed with separate sutures to the lumbar muscle and the intra-abdominal fascia. Parietal peritoneum is sutured above the implant.
EFFECT: method allows for compensation of a volume of removed soft tissues and prevention of back displacement of abdominal organs.
1 cl, 3 dwg, 2 ex
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Authors
Dates
2023-01-12—Published
2021-08-18—Filed