Operative Urology II [Paperback]

Renovascular Surgery.- A. Renovascular Hypertension.- I. Diagnostic Tests.- 1. Radioactive Renogram.- 2. Renal Scanning.- 3. Intravenous Urography.- 4. Renal Arteriogram.- 5. Individual Kidney Function Tests.- 6. Assay of Renal Vein Plasma for Pressor Substances.- 7. Pressure Gradient and Renal Blood Flow Determinations.- 8. Renal Biopsy.- II. Surgical Treatment.- 1. Nephrectomy.- 2. Partial Nephrectomy.- 3. Nephropexy.- 4. Surgical Approaches to the Renal Vessels.- a) Endartereetomy.- b) Segmental Resection and End-to-End Anastomosis of the Renal Artery.- c) Aortorenal Bypass Grafts.- d) Splenorenal Anastomosis.- e) Reimplantation (Renal-Aortic).- f) Arteriotomy and Patch-plasty.- g) Autotransplantation.- 5. Bilateral Renal Artery Stenosis.- 6. Medical Versus Surgical Treatment.- B. Surgery of Renal Artery Aneurysms.- C. Renal Artery Embolism.- I. Technique of Embolectomy.- D. Renal Vein Thrombosis.- Conclusion.- References.- Renal Transplantation.- I. Renal Transplantation.- Historical Background.- II. Evaluation of Patients.- A. Evaluation of the Recipient.- 1. Age.- 2. Diagnosis.- 3. Urinary Tract Status.- 4. Circulating Antibodies.- 5. Timing of the Transplant.- 6. Psychological Factors.- B. Evaluation of the Donor.- 1. Living Donors.- 2. Cadaveric Donors.- III. Technique of Donor Nephrectomy.- A. Living Donor.- 1. Preparation.- 2. Surgery.- 3. After Surgery.- B. Cadaveric Donor.- 1. General Considerations.- 2. Technique.- 3. Evaluation of Cadaver Kidney.- 4. Utilization of both Kidneys.- IV. Technique of Recipient Implantation.- A. Adults.- 1. Approach.- 2. Dissection.- 3. Venous Anastomosis.- 4. Arterial Anastomosis.- 5. Hemostasis.- 6. Ureteral Anastomosis.- B. Infants.- C. Nephrectomy in the Recipient.- 1. Indications.- 2. Techniques.- V. Postoperative Care.- A. Following Immediate Function of the Graft.- 1. Nursing.- 2. Fluid Balance.- 3. Immunosuppressive Agents.- 4. Antibiotics.- B. Following Delayed Function from the Graft.- C. Subsequent Hospital Care.lc0