PREVENTIVE NEPHROPEXY AS A PREVENTION OF COMPLICATED NEPHROPTOSIS

Abstract

The article show the efficiency of Doppler ultrasonography for the determination of hemodynamic criteria, which determine tactics of treatment of patients with, uncomplicated nephroptosis. Survey design included ultrasonic Doppler ultrasonography of kidneys' vessels in sitting and standing positions. The degree of disorder of hemodynamics in renal artery was determined in orthostasis in comparison with clinostasis. The indications for the operative treatment of uncomplicated nephroptosis were the disorders of hemodynamics in orthostasis more than 30 % in comparison with clinostasis. All operated patients had. laparoscopic nephropexy. Blood flow in renal artery in postoperative period restored in all operated patients with uncomplicated nephroptosis. The research of renal blood flow shows objective idea of the degree of change of hemodynamics in pathologically movable kidney. Patients with uncomplicated nephroptosis and. disorders of hemodynamics in orthostasis more than 30 % need operative treatment for the prevention of the complications of the desease.

Keywords

• nephroptosis
• doppler ultrasonography
• nephropexy