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Anesthesia for bench surgery.

S Sachin¹, M C Rajesh¹, E K Ramdas¹

¹Department of Anaesthesia, BMH, Kozhikode, Kerala, India.

Anesthesia, Essays and Researches

|October 18, 2016

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This study details anesthetic management for ex vivo renal bench surgery and auto-transplantation on a solitary kidney. The balanced technique ensured a successful surgery with a healthy, functioning kidney post-recovery.

Area of Science:

Urology
Nephrology
Anesthesiology

Background:

Ex vivo renal bench surgery with auto-transplantation is a complex procedure for urinary tract reconstruction.
Challenges are amplified when operating on a solitary functioning kidney, requiring meticulous perioperative planning.

Observation:

Anesthetic management for a 70-year-old male patient undergoing ex vivo renal bench surgery and auto-transplantation on a solitary kidney was described.
Key goals included hemodynamic stability, fluid overload reduction, maintaining renal perfusion, minimizing blood loss, and ensuring adequate analgesia.

Findings:

A balanced anesthetic technique combined with stringent monitoring standards was employed.
The perioperative management successfully achieved all primary goals throughout the extracorporeal surgery period.

Keywords:

Anesthetic management bench surgery renal autotransplant renal tumor

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Implications:

This approach demonstrates a successful strategy for managing complex renal auto-transplantation cases, even in high-risk patients.
The patient was discharged with a healthy, normally functioning kidney, highlighting the efficacy of the described anesthetic and surgical management.