Is Blood Stoppage During Kidney Surgery A Safe Practice

Is Blood Stoppage During Kidney Surgery A Safe Practice

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  1. The Mayo Clinic and Cleveland Clinic combined research has discovered stopping blood flow over 20 to 25 minutes in kidney surgery greatly adds to the risk of patients of acquiring chronic kidney disease.

    The studies facts were published in the journal of European Urology.

    In the study researchers examined the results of 362 patients who had surgery for renal tumors, that took place at the Mayo and Cleveland Clinics between the years 1980 through 2008. Using a method referred to as warm ischemia, surgeons maintained the patients kidneys at body temperature during the partial nephrectomy. Ischemia is when the blood supply is halted to the kidney by use of clamps in order to manage and maintain blood from blocking the surgeons view of the kidney. It also permits for accurate closing of the urine collecting system and the surgical opening. The average time of stopping the blood flow was 21 minutes and the average patient age was 62 years old.

    Ischemia can induce kidney damage from decreased oxygen and nutrients. Researchers discovered with each added minute of warm ischemia a link to five to 6 percent increased risk of obtaining acute renal failure or reduction of kidney function is linked with a six percent new occurrence Stage four chronic kidney disease during long term follow up.

    According to Dr. R. Houston Thompson of the Mayo Clinic urology and the studies lead researcher., this was one of the biggest assessments of warm ischemia time with patients that have one kidney while undergoing partial nephrectomy, putting together the experiences of both the Mayo and Cleveland Clinics, both pioneers in the field of kidney cancer. The findings recommend that each minute is vital when the renal arteries and veins are clamped. When arranging for surgery, the surgeons should make attempts to decrease ischemia time, specifically where a patient has only one kidney.

    In the past thirty minutes was estimated to be the maximum safe time limit of warm ischemia during partial nephrectomy. Other past clinical studies had advised that warm ischemia for forty to fifty five minutes was safe. Nevertheless, these studies included patients with two kidneys, which could possibly hide the true results of ischemia on renal function.

    Due to the fact that each minute of warm ischemia allows for risk of chronic kidney problems, if longer warm ischemia durations can not be avoided then techniques like ice slush (cold ischemia) should then be examined.

    The researchers strongly advocate that findings of this study do not propose involvement for patients treated with cold ischemia.

    According to the National Kidney Foundation 26 million American adults have chronic kidney disease, and millions more are at potential risk for this disease.

    More frequently persons with chronic kidney disease are turning to alternative therapies for treatments. The reasons vary from side effects of medications to just plain disappointed of the being defeated by conventional medicine.

    Some of the alternative therapies available are as follows:

    Acupuncture
    Acupuncture is used to control pain and chronic disorders when conventional methods of management fail. Acupuncture has been used in diversed kidney diseases and many complications associated to them. Acupuncture in conjunction with small dose of medicine the results and advantages of the combination yield excellent results.

    Chiropractic

    Chronic kidney disease causes immense pain in the lower back. In order to elevate the pain, more and more persons are turning to chiropractors for safe and effective methods to help diminish their pain. There is researched evidence that spinal manipulations is a effective treatment.

    Chinese Medicine

    Traditional Chinese medicine formulas are able to help patients maintain a healthy life and manage their disease for many years with little or no aide from conventional prescribed medications, dialysis or kidney transplant.

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