Fedorova Subcapsular Nephrectomy

Fedorova subcapsular nephrectomy: a modern approach to surgical removal of the kidney

In modern medicine, there are a variety of surgical methods for the treatment of kidney diseases, including nephrectomy, a procedure for complete or partial removal of the kidney. One of the innovative approaches to nephrectomy is the Fedorov subcapsular nephrectomy method, developed and proposed by the outstanding Russian urologist Sergei Petrovich Fedorov.

Fedorov subcapsular nephrectomy is a surgical procedure in which part or all of the kidney is removed, preserving its outer shell, the capsule. This method is especially useful in the treatment of kidney tumors such as kidney cancer, adenomas and other benign tumors.

Fedorov's subcapsular nephrectomy procedure has several advantages over traditional nephrectomy methods. Firstly, preserving the kidney capsule allows you to maintain its functionality and reduce the risk of developing post-nephrectomy failure. This is especially important when part of a kidney is removed, where maintaining kidney function may be critical to the patient.

Secondly, Fedorov subcapsular nephrectomy provides a more cosmetic result, since large incisions in the kidney tissue are avoided. This may be especially important for patients who are concerned about the appearance of surgical scars.

Fedorov's technique of subcapsular nephrectomy includes a number of stages. First, access to the kidney is made through a small incision on its surface. The surgeon then carefully separates the kidney capsule from its parenchyma, while maintaining the integrity of the capsule. After this, the desired part of the kidney or the entire kidney, if necessary, is removed. At the end of the procedure, the kidney capsule is usually sutured or secured to prevent bleeding and promote healing.

Fedorov subcapsular nephrectomy is a safe and effective procedure that can be used in a variety of clinical situations requiring kidney removal. It allows you to preserve important kidney functions and achieve good cosmetic results. However, as with any surgical procedure, risks and complications are possible, so the decision to use this method should be made by the doctor based on the individual characteristics of each patient and the nature of the disease.

In conclusion, Fedorov subcapsular nephrectomy represents a modern and innovative approach to surgical removal of the kidney. This method, developed and proposed by Sergei Petrovich Fedorov, allows you to preserve the functionality of the kidney and achieve good cosmetic results. However, before using this procedure, it is necessary to take into account the individual characteristics of each patient and consult with an experienced doctor.

Fedorov subcapsular nephrectomy (SSN) is an operation to remove the kidney through a small incision on the anterior abdominal wall, without damaging the kidney capsule. It is one of the most modern methods of treating kidney diseases such as kidney stones, tumors and infections.

The treatment is carried out using endoscopic surgery, so after the operation there is no need for a long period of rehabilitation and complications. The operation can be performed either minimally invasively or using incisions. FSN can be used to remove tumors of any size and location inside the kidney, as well as to prevent kidney disease in patients with chronic diseases or high risks of developing tumors in the kidneys.

Before surgery, the patient undergoes a computed tomography (CT) or magnetic resonance imaging (MRI) scan of the abdominal organs with contrast to determine the location of the tumor and its size. Based on the results of the study, the surgeon determines the location of the incision and the direction of the operation. The doctor then administers anesthesia and the patient is placed under general anesthesia. After this, the operation begins.

During the operation, a puncture is made through a small skin incision in the area of ​​the kidney where the tumor is located. This allows the surgeon to access the kidney and remove it while maintaining normal blood and lymph flow. If necessary, the surgeon can use instruments and endoscopic equipment to reach hard-to-reach parts of the kidney

Fedorov subcapsular nephrectomy - surgery to remove the kidneys (nephrectomy), usually performed for benign tumors of the kidney tissue or in case of trauma. These interventions are considered complex and require skilled surgeons. This article will describe the history of this type of surgery, its technical implementation, and possible complications that may arise from the procedures.

Historical overview of surgery At the end of the 19th century, surgeons Ivan Bush and Charlesson developed methods for removing stomach tumors using a new method - internal thoracocogis. It was a breakthrough in medical technology at the time and helped in the treatment of various types of tumors such as cancer. Since then, this approach has become the basis for many surgical procedures.

Sergey Petrovich Fedorov is one of the first surgeons who began to perform subcapsular nephrectomy - removal of the kidney while maintaining the integrity of the external capsule of the organ. This approach was first used by Sergei Petrov Fedorov (1924) on the heart of a woman with purulent peritonitis after closure of the abdominal cavity. Later, in 1947, at the All-Union Meeting of Surgical Specialists, Sergei Petrovich Fedorov presented a report “On the importance of capillary vessels in oncology.” At the meeting, Fedorov noted that the human body is in normal