Open Nephrectomy Explained: Indications, Positioning & Steps | Dr. Pawan Kandhari

Open Nephrectomy Explained: Indications, Positioning & Steps | Dr. Pawan Kandhari

In this detailed session, Dr. Pawan Kandhari walks you through the key concepts of open nephrectomy, focusing on indications, patient positioning, and surgical approaches — essential knowledge for every surgical resident and young urologist.

Learn the indications for nephrectomy — from non-functioning kidneys and malignancy to trauma and donor procedures. Understand the proper patient positioning with the left lateral decubitus technique, crucial for successful right-sided nephrectomies. Dr. Pawan Kandhari also explains the types of incisions used, including the rib-sparing and rib-cutting flank incisions, highlighting the pros, cons, and anatomical considerations for each.

Key highlights:
✅ Indications for nephrectomy (non-functioning kidney, malignancy, trauma, donor nephrectomy)
✅ Importance of patient positioning (Left lateral decubitus explained)
✅ Step-by-step positioning tips for pressure points and fixation
✅ Surgical incision types: Standard loin incision, rib-sparing, and rib-cutting techniques
✅ Common complications like intercostal nerve injury and pleural injury
✅ Practical tips for better surgical access and minimizing postoperative complications

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