Special Surgical Procedures II
LESSON 3: Procedures in Genitourinary Surgery
Section Iii: operations on the kidney, ureter, and adrenal glands
3-15
3-15. HEMINEPHRECTOMY
a. General. This procedure involves the partial excision of the kidney, and is otherwise similar to nephrectomy.
b. Operative Procedure. This procedure is usually indicated when one pole of the kidney has been destroyed by localized disease, such as an obstructive calculus. The rest of the kidney is healthy. This condition may be the result of a kidney being
formed with two collecting systems. The capsule is pushed back, and a wedge of kidney tissue is resected, which includes the diseased or damaged cortex, pelvis, and vessels. The healthy kidney tissue is sutured with gut, the capsule is replaced and a pad of fat is sutured over the line of closure. A nephropexy will probably be done also to ensure good position and drainage.
