CHAPTER 32

Nephrectomy and Ureteroplasty

A nephrectomy is the removal of a kidney.

Equipment needed for the procedure includes a basic laparotomy set and self-retaining retractor.

A brief description of the nephrectomy procedure follows:

1. A Thompson retractor is used to expose the kidney area.

2. Metzenbaum dissecting scissors are used to incise Gerota’s capsule.

3. Adson tissue forceps are used for blunt dissection and hemostasis.

4. Curved mayo dissecting scissors are used for sharp dissection.

5. Mixter hemostatic forceps are used to double-clamp the ureter.

6. Long Metzenbaum dissecting scissors are used to cut the ureter.

7. A Guyon-Péan vessel clamp or Herrick kidney clamps are used to double-clamp the kidney pedicle.

32-1 Left to right: 1 Lincoln-Metzenbaum scissors, narrow dissecting tip; 1 Potts-Smith cardiovascular scissors, 45-degree angle; 1 probe dilator; 1 grooved director; 2 Hoen nerve hooks; 2 Love nerve retractors, straight, front view, 90-degree angle, side view; 2 Little retractors, medium; 4 Gil-Vernet retractors, assorted sizes.

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