How to prepare for a laparoscopic resection?
Once the date of surgery is determined, you will be instructed on how to properly prepare for it.
Firstly, before the surgery you will need to undergo a standard examination including physical inspection and the following tests:
- General analysis of blood and urine;
- Biochemical blood assay;
- Blood coagulation profile;
- Tests for HIV, syphilis, hepatitis B and C;
- Tests for blood type and Rh;
- Abdominal and retroperitoneal ultrasound examination;
- Bleeding time or coagulogram.
If necessary, your physician may prescribe additional examinations. You can undergo a medical examination on an outpatient basis, that is, at a polyclinic a few days before hospital admission.
If you have previously been prescribed blood thinning drugs, you should stop taking them a week before the surgery, this will reduce the risk of bleeding during the operation and after it. If drug withdrawal is not possible, then prior to surgery you should consult a cardiologist to address this problem.
Intestinal cleansing is an important component of preparation for laparoscopic kidney removal. Laxative drugs and cleansing enemas on the eve of the operation help reduce intestinal gas content and avoid intestine damage during installation of trocars. To this end, we usually prescribe laxatives with osmotic properties. The dosage is selected per kilogram of body weight.
In the case of abundant hair on the abdomen and lower back, it is desirable to shave it on the eve of the operation.
Attention! Laparoscopic removal is performed under general anesthesia, so the last meal is allowed no later than 6:00 PM on the day before the operation. Neglect of these rules may result in severe complications that may occur during anesthesia.
Consultation before surgical intervention
Immediately before the surgery, you will meet your surgeon. At the consultation, you will discuss possible risks and complications. In addition, the surgeon will warn you that in certain cases it may be necessary to switch in the course of operation from laparoscopy to open kidney removal. Such a probability usually exists in 5% of cases, while previous inflammatory processes in the abdominal cavity or abdominal surgeries increase this risk. At the consultation you can ask the surgeon any questions you may have. At the end of the conversation, you will need to sign an informed consent for surgical treatment.
An anesthesiologist will also have a talk with you before the operation. He will also provide you with complete information about the forthcoming anesthesia, its risks and complications, and will answer all your questions. At the end of the conversation, you will sign an informed consent for the anesthesia.
Hospitalization is usually carried out one day before the surgery, meaning you will spend the night in the hospital. Sometimes hospitalization is permissible on the day of surgery, at the physician’s discretion. You need to take toiletries, personal hygiene items, maybe individually prescribed drugs that you take all the time. On average, the inpatient stay amounts to 5–7 days.
This text is based on the materials of NCCN (National Cancer Comprehensive Network).
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