What is included in preoperative care prior to partial nephrectomy nephron-sparing surgery (NSS)?

Updated: Apr 01, 2019
  • Author: Reza Ghavamian, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Prepare patients being considered for nephron-sparing surgery (NSS) for possible radical nephrectomy. Patients should be aware of the risk for possible temporary or permanent dialysis in the setting of a solitary functioning kidney undergoing surgical intervention. The optimal treatment is often determined intraoperatively. Optimal renal perfusion provided by a hydration regimen of approximately 200 mL/h or more of crystalloids overnight often is beneficial. Alternatively, same-day admission and hydration with a 1-L crystalloid bolus over an hour prior to the scheduled operation is also used. Prepare iced slush saline for intraoperative renal cooling in anticipation of arterial occlusion and regional hypothermia.


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