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PUJ Surgery For Kidney Condition And Laporascopic Surgery To Be Done. How Long It Takes To Cure?
Question: My grandson, 7, will be undergoing PUJ surgery to correct the kidney condition. He will be having laporascopic surgery. What can we expect with respect to length of stay in hospital, length of surgery, expected recovery period?
Welcome to the forum.
The answers to the questions vary from center to center and surgeon to surgeon.
The following are guidelines and need to be confirmed with the surgeon.
1. Length of hospital stay - 5 to 7 days.
2. Length of surgery - 3 to 5 hours.
3. Recovery period-
a. Can take fluids orally in about 24 hours.
b. Walk in 24 to 48 hours.
c. Normal diet in 48 to 72 hours.
d. Dressing change in 48 to 72 hours
e. External Tubes (splint/ urethral catheter) will be present for 5 to 7 days depending on the type.
f. XXXXXXX stent needs to be removed at 6 to 8 weeks , if kept.
g. Stitch removal 10th day.
h. Go to school after stitch removal.
Hope this helps.
Please write back for doubts if any.
Best regards
The answers to the questions vary from center to center and surgeon to surgeon.
The following are guidelines and need to be confirmed with the surgeon.
1. Length of hospital stay - 5 to 7 days.
2. Length of surgery - 3 to 5 hours.
3. Recovery period-
a. Can take fluids orally in about 24 hours.
b. Walk in 24 to 48 hours.
c. Normal diet in 48 to 72 hours.
d. Dressing change in 48 to 72 hours
e. External Tubes (splint/ urethral catheter) will be present for 5 to 7 days depending on the type.
f. XXXXXXX stent needs to be removed at 6 to 8 weeks , if kept.
g. Stitch removal 10th day.
h. Go to school after stitch removal.
Hope this helps.
Please write back for doubts if any.
Best regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Are the external tubes always a factor, even with laparoscopic surgery? Does the child go home with these in place?
Welcome back.
External tubes are
1. Foley catheter - kept in the bladder - is a must to help him pass urine and to promote good healing of the sutured part in the kidney and also for prevention of urine leak around the kidney.
2. The external tube is kept for bridging the sutured area in the kidney and the same promotes healing.
These are a must and since maintaining these tubes may be difficult in a child at home, they are better managed in the hospital under observation.
In, Laparoscopic surgery, the XXXXXXX procedure is the SAME, except that the external wound size is small but multiple key holes.
IN open surgery there is a larger but single cut.
Hope this helps.
Best regards
External tubes are
1. Foley catheter - kept in the bladder - is a must to help him pass urine and to promote good healing of the sutured part in the kidney and also for prevention of urine leak around the kidney.
2. The external tube is kept for bridging the sutured area in the kidney and the same promotes healing.
These are a must and since maintaining these tubes may be difficult in a child at home, they are better managed in the hospital under observation.
In, Laparoscopic surgery, the XXXXXXX procedure is the SAME, except that the external wound size is small but multiple key holes.
IN open surgery there is a larger but single cut.
Hope this helps.
Best regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Yes it helps as these are things we were not aware of. We were told anywhere from two to three days in hospital but nothing about the tubes being left in, etc. as the parents are taking the child out of town to a children's hospital in a bigger centre, it is good to have all the info. I will advise the parents to call the child's doctor to get this info from him, as it impacts hotel arrangements. In your experience, is this a difficult surgery? Is it something he may have to watch carefully over the years as he grows? How often is this surgery done?
Happy to note that the discussion was helpful.
It is not a difficult surgery for doctors who are doing this on a regular basis.
As he grows the kidney function needs to be monitored, yearly by doing a test called renogram, for a few years atleast.
Best regards
It is not a difficult surgery for doctors who are doing this on a regular basis.
As he grows the kidney function needs to be monitored, yearly by doing a test called renogram, for a few years atleast.
Best regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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