Best urologist in kolkata

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• MEDITHICS CLINIC DIAGNOSTIC CENTER
• -COMPLETE HEALTH
  SOLUTIONS

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Radical Nephrectomy

• Radical Nephrectomy is a procedure done for the
  treatment of kidney cancer. During the surgery,
  the entire kidney is removed along with the
  surrounding adrenal glands and the lymph nodes.
  Radical Nephrectomy surgery requires two to four
  hours, depending upon the type of surgery
  performed, whether full or partial Nephrectomy.
  The recovery time of the surgery is 3 to 6 weeks.

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Overview

• Radical Nephrectomy is a procedure used by
  a urologist to remove the whole of your kidney.
  This is done for the treatment of kidney cancer,
  in which the surrounding lymph nodes and the
  adrenal gland are often removed as well to
  prevent spreading of cancer. Most patients do
  fine with one kidney that is left after the
  surgery.
• There are two types of radical nephrectomy
  procedures- partial and complete nephrectomy.
  Complete nephrectomy is the removal of the entire
  kidney, while partial nephrectomy is the removal
  of only diseased tissues from the kidney, leaving
  the healthy ones.

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• In a donor nephrectomy, the healthy kidney is
  removed from the donor person for a healthy
  kidney transplant into a recipients body. Kidney
  cancer in adults begins in the cells within the
  small tubes inside the kidneys. On the other
  hand, kidney cancer in children is likely to
  develop due to poor growth of kidney cells. There
  are certain factors determining how much kidney
  tissues are removed
• How far cancer has spread in the kidney
• How the kidney functions
• Whether there is a tumour inside the kidney or
  not
• Are there more than one tumour
• Has the cancer spread to the nearby tissues

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• Urology doctors make a decision based upon the
  patients screening and testing results. For
  instance, an ultrasound helps to produce images
  of the soft tissues inside the kidney and how far
  they are affected.
• Computerized tomography, is yet another
  specialized X-ray technology that offers thin
  cross-sectional views of the kidneys soft
  tissues. Doctors use another technique, resonance
  imaging, for producing 3D images of the kidneys
  and the surrounding areas.
• Treatment options like radical and partial
  nephrectomy help to remove scarred,
  non-functioning and severely damaged kidney
  tissues. Receiving a healthy persons (donors)
  kidney is another treatment alternative.
• Before you undergo radical nephrectomy procedure,
  these are the preparations you need to take.

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Before the treatment

• You are required to undergo several types of
  screenings and testing procedures to help your
  doctor evaluate the condition of your kidney and
  whether you have any other health issues.
• Based upon the test results, the doctors
  determine whether you need a radical or partial
  nephrectomy and whether there are any other
  alternative treatment options.
• Discuss with your urologist regarding the
  treatment you are going to receive, the recovery
  time required and how long you will have to stay
  in the hospital.
• Your doctor will instruct to stop taking certain
  medications (like blood thinners, etc). He may
  suggest you to take some new medications as
  required for the surgery.
• You are required to start fasting from the
  midnight till the day of the surgery. Make sure
  you take only those medicines as suggested by
  your doctor on the day of surgery with a small
  sip of water.

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Recovery

• After the surgery, you are transferred to the
  recovery room where you are monitored for blood
  pressure, respiration and pulse rate. Some
  patients are transferred to the Intensive Care
  Unit in case complications show up. Pain killers
  are given to help you get relief from uneasiness.
• It is normal to not have bowel movements for
  several days after the operation. Patients are
  generally suggested to have laxatives and other
  stool softeners. Follow-up appointments with
  your urology doctor are necessary to ensure you
  are doing well after the surgery and that the
  cancer has not returned. The total recovery time
  of radical nephrectomy takes around 3-6 weeks,
  while period is much shorter in case of a
  laparoscopic procedure.
• To ensure faster recovery, listen to every
  details of your doctors advice. Include lots of
  fibre-rich foods and liquids in your diet, but
  only after 2-3 days after the surgery. Refrain
  from heavy lifting jobs and strenuous activities.
  In case of any complications like swelling or
  bleeding of the wound, report it to your doctor
  without delay.

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How it is performed

• Before the operation, you are given general
  anaesthesia to let you sleep through it. A
  catheter is placed in your bladder to help in
  drainage.
• In case of an open radical nephrectomy, a large
  incision is done in the patients abdomen, lower
  back and side to get access to the kidney.
  Another cut is done across the side, below the
  rib cage to allow surgeons examine the
  surrounding tissues and lymph nodes and whether
  the cancer has spread further. The operation
  takes two hours to complete.
• On the other hand, a laparoscopic radical
  nephrectomy takes much lesser time that uses a
  minimally invasive procedure. Several key-hole
  incisions are done in the abdominal cavity
  through which a laparoscope (with camera fitted
  to its end) and other surgical instruments are
  inserted to perform the surgery. The laparoscopic
  procedure is used for removing smaller and
  localized renal tumours.
• In contrast to a open radical nephrectomy,
  laparoscopic procedure has more benefits that
  involve shorter hospital stay, lesser pain and
  quicker recovery.

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