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Open Pyeloplasty Surgery in Hyderabad

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What is Open Pyeloplasty?

Open Pyeloplasty surgery is a direct surgical procedure done to clear Ureteropelvic junction (UPJ) obstruction. It is performed to repair the ureter( a tube that attaches the kidney and bladder)

This procedure is designed to clear a blockage or narrowing in the ureter. For open surgery pyeloplasty in a small baby or infant, a single incision of 2 to 3 inches is required. In the case of a slightly bigger child, there might be multiple incisions of about 1 centimetre.

An Open Pyeloplasty surgical procedure may be required, in both adults and children. Adults, teenager

How is Open Pyeloplasty performed – Before, during, and after

Before open pyeloplasty

The patient is asked to get admitted to the hospital a day prior or on the same day. The doctor will conduct a thorough body examination and laboratory investigations before surgery. Since it is an open surgery, the patient would be kept for observation, dressing, and cleaning of the wounds even after the surgery.

Since it involves a direct incision on the body, Open Pyeloplasty surgical procedure is performed under general anaesthesia conditions only..

During surgery

An appropriate set of multiple incisions on the flank (side of the body), each about 1cm long, are used for traditional open surgery for pyeloplasty. The abdomen is filled with CO2 for better visibility. The incisions are used to ensure that the stricture may be localised, removed, and two remaining ends of the stricture can be stitched together. The procedure usually takes three to four hours to complete.

A wound drain is sewn in place during the surgery. The wound drain is attached to a drainage bag. As the name suggests, the wound drain assists with the drainage of any urine or blood from the kidney that may ooze from the area

After open pyeloplasty

Apart from this wound drain, a ureteric stent is inserted. This ureteric stent is referred to as a Blue stent or JJ stent. The ureteric stent promotes healing and aids the draining of urine from the kidneys. In addition to these, a catheter is also inserted into the urethra. This catheter further helps to drain the urine. Such a catheter drains into a bag and is left in place till the patient is ready to resume activities. The incisions are sutured using dissolvable stitches after the surgery. The entire procedure can take 2 to 4 hours. After a Open Pyeloplasty surgery, it is recommended to be kept under observation in the hospital for another night.

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Cost of Open Pyeloplasty in Hyderabad, India

Description	Cost
Average Cost of Open Pyeloplasty Surgery in Hyderabad	159,000 INR
Average Cost of Open Pyeloplasty surgery in India	179,000 INR

Surgery details	Description
Number of days in the hospital	2-3 days
Type of surgery	Minor
Type of Anaesthesia	General
Number of days required to recover	5 to 6 weeks
Duration of the procedure	2-3 hours
Type of surgical options available	Open. Incisions and scarring are possible.

Risk factors of open pyeloplasty

Although this surgery is safe, there are risk factors and potential complications of the surgical procedure. Following are some of the possible complications:

Bleeding: Blood loss is usually modest (less than 100 cc) during this treatment, and a blood transfusion is rarely necessary.
Infection: All patients are given broad-spectrum intravenous antibiotics before surgery to reduce the risk of infection.
Hernia: Hernias at incision sites are uncommon because all keyhole incisions are meticulously closed at the end of the procedure.

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Frequently Asked Questions

The Open Pyeloplasty surgery takes 90 to 180 minutes. The actual surgery may take only three hours but the pre-operative procedure may need the patient to be admitted to the hospital 24 hours before the surgery. Since this is an open surgery, the patient might have to stay in the hospital for another 24 hours.

Yes, the renal functions will improve after pyeloplasty. In an open surgery procedure for pyeloplasty, a stent would be placed inside the kidney and ureter to ensure the proper flow of urine and no obstruction. This will ensure improved kidney function.

Yes, because this is an open surgery pyeloplasty, it will take a minimum of 2 weeks for the sutures to be removed. Following the removal of sutures, it can take up to 6 weeks for complete healing of the incisions made during surgery.

Open Pyeloplasty surgery is performed under general anaesthesia and may need more than one incision. Be prepared for a longer healing duration, and to rest at home while the incisions heal. Also, it would be good to be mentally prepared for the scars.

Yes. The incisions can be the biggest source of infection. Ensure that the area is cleaned and dressed in gauze, bandages, and betadine regularly or as prescribed by the doctor. Avoid straining, exercise, or lifting weights to ensure the sutures don’t open up after the surgery.

A certain amount of pain and discomfort can be expected in the areas where the incision was done., Additionally, adequate care and precautions will be required to ensure that there is no secondary infection at the incision site. Hence, regular cleaning and dressing of the area are required. To ensure proper healing and to maintain sutures in place there should be minimal movement and no strenuous activity or lifting weights.