Overview of Radical Nephrectomy Treatment India

If your doctor has advised you to get a radical nephrectomy done, this is the right place for you to get all research done and note down the important information. A healthy kidney is fundamental to good health. It is the kidney that helps you excrete the waste from your body and maintaining pH, as well as potassium levels. However, due to some poor lifestyle habits or genetic history, kidney cancer has become one of the most prevalent illnesses at present. The good news is that medical science has also found out some effective forms of treatment.

Radical Nephrectomy is one of the common surgeries done to remove the part of the kidney that is affected by a cancerous growth or tumor. If you have been advised to get this surgery or you are diagnosed with a kidney tumor, you have come to the right place. Here are some crucial details about Nephrectomy that you would want to know.

Some of the most common kidney conditions for which nephrectomy is recommended are given below:

01. Kidney cancer

02. Chronic kidney infection

03. Polycystic kidney disease

04. Shrunken kidney

05. Renal stones

06. Wilms tumor

07. Transitional cell cancer

Types of Radical Nephrectomy Treatment India

Types of Nephrectomy: Partial Nephrectomy Vs Radical Nephrectomy

Partial Nephrectomy involves the removal of only the diseased part of the kidney whereas Radical Nephrectomy means that the entire kidney is removed in addition to a part of the ureter, adrenal gland and some fatty tissue around the kidney. If both the kidneys need to be removed, then it is knowns as bilateral nephrectomy.

The right type of surgery for a patient depends upon the size and location of the tumor. The first preference of a surgeon is usually to remove the cancerous part and then to save the maximum part of the kidney. Some other factors to be considered while deciding are the complications, chances of recurrence and challenges while doing the procedure.

Radical Nephrectomy Procedure

Before the surgery

You will go through a detailed medical evaluation before the surgery takes place. This evaluation includes a detailed medical history, blood tests to check the presence of any infection, CT/ MRI scan of the kidney to check the condition of the tumor. It is imperative to inform your surgeon about every single detail related to your previous medical history, the treatments you have undergone or any medications that you are currently taking. Your surgeon may ask you to stop taking certain medications that you are already taking. You will also need to stop smoking and drinking alcohol a week before the surgery.

During the procedure

The radical nephrectomy procedure starts by administering general anaesthesia so that you fall asleep during the surgery. Usually, there are two types of approaches to perform radical nephrectomy. The first approach is by making an incision in the abdominal wall and has direct access to the kidney. The second approach is laparoscopic surgery in which small incisions are made near the abdomen which is just enough to insert wand-like instruments. These instruments have a camera so that everything can be seen by the surgeon on the screen.

Another way of performing laparoscopy surgery is by the robot-assisted system. This provides better images and more precision & accuracy during the surgery. Some of the advantages of laparoscopic surgery are that it leads to lesser trauma to the tissues, lesser risk of complications and faster recovery as compared to open surgery. However, to perform laparoscopic surgery, the surgeon needs to have adequate skills

After the surgery

Immediately after the surgery, you are kept under observation to monitor your blood pressure, pulse rate and all other vitals. After your condition gets stable, you will be shifting to a general hospital room. Most of the patients experience pain in the first few days after the surgery, especially at the incision sites. This is managed by administering intravenous pain medications or oral pain-relief pills. One may also feel minor shoulder pain for 1-2 days. This is associated with the carbon dioxide gas that is used to inflate the abdomen during the surgery.

Your radical nephrectomy recovery time and the length of hospital stay is determined by your general health, response to the surgery and type of surgery performed. You will need to have a urinary catheter for some time during the surgery. Before the hospital discharge, your doctor will have a detailed discussion with you regarding the restrictions and precautions that you will need to take. At this time, you can ask any questions regarding your recovery from the doctor.

The doctor will ask you to do simple breathing exercises to prevent the occurrence of any respiratory infections with the help of an incentive spirometry device. Deep breathing is highly significant in preventing pneumonia and other complications related to the lungs

Diagnosis of Radical Nephrectomy Treatment India

Tips to take care of your kidney post-surgery

01. You will be encouraged to eat light, fresh and healthy food.

02. You should also engage yourself in physical activities.

03. Regular check-ups as advised by the doctor

04. Regular monitoring of important vitals related to kidney function such as blood pressure, protein urine levels and waste filtration.

05. Consult your doctor if you notice any usual symptoms

Risks and complications

In some cases, there are chances of complications such as bleeding, infection, post-operative pneumonia, allergy to anaesthesia, or failure of the surgery. In some patients, there may are chances of recurrence of cancer.

Symptoms and Risk factors

Results

As per the statistics, most of the patients become free of cancer for up to 5 years after the surgery. The problem is that since those patients are only left with one kidney, it gets more prone to having chronic kidney disease. Additionally, there are increased chances of cardiovascular disease from reduced kidney function.

The lifelong vision of Radical Nephrectomy

If you have one kidney that is healthy and functional, it can perform all the needed functions. However, you will need to follow strict dietary restrictions and other recommendations given by your doctor. However, if both the kidneys are removed, the person will need either a transplant or dialysis

Top Hospitals for Radical Nephrectomy in India

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Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute Mumbai,India

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Max Multi Speciality Centre Noida Noida,India

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Fortis S L Raheja Hospital Mahim, Mumbai,India

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Fortis Hospital, Bannerghatta Road Bengaluru,India

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Medicana Bahcelievler Hospital Bahçelievler,Turkey

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Top Doctors for Radical Nephrectomy in India

Empower your Health with the Expertise of Leading Medical Professionals.

Dr. B. Subba Rao

Department of Nephrology

Consultant

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Dr Prakash K C

Department of Nephrology

Consultant

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Dr Rajeev Annigeri

Department of Nephrology

Consultant

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Dr. S Rajagopalan Seshadri

Department of Nephrology

Consultant

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Dr. Vadamalai Vivek

Department of Nephrology

Consultant

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Treatment Costs for Radical Nephrectomy

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Radical Nephrectomy - Frequently Asked Questions

One can take shower immediately after getting discharged from the hospital. However, it is important to pat dry the incisions afterwards. Do not apply thick or heavy lotions. Do not use hot tubs or tub baths in the first 2 weeks to avoid any risk of infections.

One should refrain from heavy lifting or intense activities for the first 4 weeks after the surgery. The patients can start driving once they are done with the narcotic pain medication and have a full range of motion of their waist. Usually, most of people can return to work after 3-4 weeks after the surgery.

As compared to open surgery, the laparoscopic approach to the surgery causes lesser blood loss, reduced pain after the surgery, shorter hospital stay, and faster and smoother recovery.

Patients with large-sized tumours which invade the surrounded structures such as blood vessels or nerves are best treated by open surgery. Additionally, people having medical conditions like major lung or heart disease are not able to handle the laparoscopic technique.

The prognosis of the treatment is usually determined by the type of cancer, stage or grade of cancer. According to recent studies, an encapsulated tumour treatment leads to a 5-year and 20-year survival rate of 88% and 66% respectively. On the other hand, the survival rate is reduced to 67% and 35% if the tumor invades perirenal fat, and 17% and 5% if the regional lymph nodes are involved.

Small tumors can be treated completed with the help of only surgery. In rare cases where the patients have large and non-invasive cancers may need adjuvant treatment with medical therapies like interferon-alpha, tyrosine kinase or interleukins-2.

Ortil Healthcare is an online platform that is made to facilitate your medical journey to India and Turkey. Apart from providing cost-effective prices, we aim at getting your treatment done by the best nephrologists who have several decades of experience. We also provide medical visa assistance so that you do not need to waste your time searching about the medical visa. Join us to make your journey hassle-free.