Clinical Procedure
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If converting laparoscopic to open because of uncontrolled bleeding, consider permissive hypotension until haemostasis is achieved. Take vascular comorbidities into account when deciding how low.
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Jul 12, 2011
Check Hb. Anemia may be present from hematuria. refl.in/9f
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Feb 14, 2012
If the patient has had previous abdominal surgery there may be surgical access issues making an open conversion more likely when performing a laparoscopic assisted nephrectomy.
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Mar 05, 2014
Usually performed in the full lateral position with either padding or table positioning (“breaking” the table in the middle) to raise the loin and improve surgical access. refl.in/9f
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Jul 12, 2011
Open operations on the kidney are painful and epidural analgesia should be used where possible. refl.in/9f
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Jul 12, 2011