How are the possible complications of extraperitoneal nephrectomy prevented?

Updated: Sep 24, 2019
  • Author: Michael Grasso, III, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Answer

Adequate preoperative counseling is important to help reduce the risk of perioperative complications. Patients are counseled to stop anticoagulant therapy and to refrain from all agents that cause platelet dysfunction for at least one week preoperatively. A mechanical bowel preparation is routinely used. Both large and small bowel decompression facilitates development of the retroperitoneal space during balloon dissection and insufflation. Prophylactic oral and intravenous antibiotics are administered, with the agent determined by patient history and tolerance. Type and blood cross match is routinely obtained, and donor-directed blood is prepared based on preoperative parameters.


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