Omentorenopexy

Omentorenopexy (historical; omentorenopexia; omento- + lat. ren kidney + Greek pexis attachment; syn. omentonephropexy) is a surgical operation in which the omentum is attached to the kidney in order to fix the kidney and prevent its mobility.

This operation has been used in surgery in the past to treat a mobile kidney. The omentum was cut off and fixed to the kidney to limit its mobility inside the abdominal cavity.

Currently, this operation is not used, since there are more modern and effective methods for treating nephroptosis, including both conservative therapy and various types of nephropexies using synthetic mesh implants. However, omentorenopexy remained in history as one of the attempts to surgically correct pathological kidney mobility in the past.

Omentorenopexy is a surgical procedure that involves attaching the omental membrane to the kidney to prevent its loss and maintain normal kidney function.

Omentorenopexy was first described in 1940 by German surgeon Otto Spann, who proposed the use of omentectomy to strengthen the kidney and prevent its displacement. In 1968, American surgeon Robert Adams modified this operation by adding fixation of the omental membrane to the renal pedicle.

Today, omentorenopexy is used as a treatment for nephroptosis (prolapse of the kidney), as well as in cases of surgical treatment of kidney tumors, when it is necessary to preserve normal organ function.

The operation is performed through an incision in the abdomen, which allows the surgeon to gain access to the kidney and omentum. The omentural membrane is then attached to the renal pedicle using special sutures. This helps prevent kidney displacement and improve its functionality.

Benefits of omentorrhenopexy:

1. Improved kidney function.
2. Preventing kidney prolapse.
3. Reducing the risk of complications associated with nephroptosis.
4. Reducing lower back pain and improving the patient’s quality of life.
5. Possibility of maintaining normal kidney function during surgical treatment of tumors.

However, it is worth noting that omentorenopexy is an invasive operation and may have a number of complications, such as bleeding, infection, damage to neighboring organs, etc. Therefore, before performing an operation, it is necessary to carefully evaluate the risks and benefits of it for a particular patient.