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Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
[Rhabdomyolysis after laparoscopic nephrectomy: case report].
M Fabuel Deltoro1, M Ramos de Campos, J Juan Escudero
1Servicio de Urologia, Consorcio Hospital General Universitario de Valencia, Valencia, España. milafabuel@hotmail.com
Archivos Espanoles De Urologia
|November 1, 2008
Summary
Rhabdomyolysis after laparoscopic surgery can be effectively managed with clinical treatment. Early detection and prompt intervention are crucial for successful recovery, highlighting the importance of prevention strategies.
Area of Science:
- Nephrology
- Urology
- Surgical Complications
Background:
- Laparoscopic nephrectomy is a common surgical procedure.
- Rhabdomyolysis is a potential, though rare, complication.
- Understanding risk factors is key to prevention.
Observation:
- A case of rhabdomyolysis following laparoscopic nephrectomy presented with gluteal pain, functional impotence, skin lesions, acute kidney injury, and elevated muscle enzymes.
- Risk factors identified include high body mass index, prolonged surgical duration, and specific patient positioning (lateral decubitus with flexion).
Findings:
- The patient achieved a satisfactory outcome with conservative medical management.
- Preventive measures are paramount in avoiding acute kidney injury secondary to myoglobinuria.
Implications:
- This case underscores the importance of recognizing and managing rhabdomyolysis post-laparoscopy.
- Proactive strategies focusing on patient positioning and surgical optimization can mitigate risks.
- Early diagnosis and swift therapeutic initiation are vital for favorable patient outcomes.
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