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Nephrectomy

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Definition

Nephrectomy is a surgical procedure that involves the removal of one or both kidneys. This operation may be performed for various reasons, including kidney cancer, severe kidney disease, or injury to the kidneys. Understanding nephrectomy is crucial as it directly relates to the urinary system's ability to filter waste and maintain homeostasis in the body.

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5 Must Know Facts For Your Next Test

  1. Nephrectomy can be performed as an open surgery or laparoscopically, with the latter often resulting in less pain and quicker recovery.
  2. This procedure can be unilateral (removal of one kidney) or bilateral (removal of both kidneys), depending on the patient's condition.
  3. Patients who undergo nephrectomy may need regular monitoring for kidney function post-surgery, especially if only one kidney is removed.
  4. Nephrectomy can significantly impact the urinary system's overall function, as it reduces the body's ability to filter waste and regulate fluid balance.
  5. Recovery from nephrectomy typically involves managing pain, monitoring for potential complications like infection, and ensuring proper hydration and nutrition.

Review Questions

  • What are the primary reasons for performing a nephrectomy, and how does this procedure impact kidney function?
    • Nephrectomy is primarily performed to treat conditions such as kidney cancer, severe kidney disease, or trauma. The impact on kidney function can be significant, especially if both kidneys are removed. In cases where only one kidney is removed, the remaining kidney usually compensates by increasing its workload. However, patients must be monitored closely for any signs of renal impairment following surgery.
  • Discuss how nephrectomy affects a patient's treatment plan post-surgery, particularly in terms of monitoring and management.
    • After nephrectomy, a patient's treatment plan must include regular monitoring of kidney function through blood tests and imaging studies. This is crucial because even with one kidney, patients may face challenges related to fluid balance and waste filtration. If complications arise, such as infection or decreased renal function, interventions like medication adjustments or even dialysis may be necessary to support the patient’s health.
  • Evaluate the long-term implications of nephrectomy on a patient’s lifestyle and health outcomes.
    • The long-term implications of nephrectomy can vary significantly depending on whether one or both kidneys were removed. Patients may experience lifestyle changes, including dietary modifications and increased hydration to support kidney function. There is also a risk of developing chronic conditions related to reduced renal capacity, necessitating ongoing healthcare support and lifestyle adjustments to maintain optimal health outcomes. Regular check-ups are essential to address any arising issues promptly.

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