Role of laparoscopic nephrectomy for refractory hypertension in poorly functioning kidneys.
Summary of "Role of laparoscopic nephrectomy for refractory hypertension in poorly functioning kidneys."
INTRODUCTION Hypertension is a common medical problem mainly treated by effective antihypertensive drugs. Persistent hypertension can be difficult to manage and have detrimental effect on vital organs. Nephrectomy of poorly functioning kidneys may be indicated in a minority of such cases. PATIENTS AND METHODS We performed laparoscopic nephrectomy on 12 patients with refractory hypertension.RESULTS Eight had complete response, three had partial response and one had no response. CONCLUSIONS Laparoscopic nephrectomy has a role in carefully selected adult patients with refractory hypertension due to non-functioning kidney. Patients need to understand the surgical risks as well as the small risk of failure to treat hypertension.
Affiliation
Journal Details
This article was published in the following journal.
Name: Annals of the Royal College of Surgeons of England
ISSN: 1478-7083
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20704785
- DOI: http://dx.doi.org/10.1308/003588410X12771863936800
Medical and Biotech [MESH] Definitions
Kidney, Artificial
Device(s) which can substitute for normally functioning kidneys in cleansing the blood.
Anemia, Refractory, With Excess Of Blasts
Chronic refractory anemia with granulocytopenia, and/or thrombocytopenia. Myeloblasts and progranulocytes constitute 5 to 40 percent of the nucleated marrow cells.
Nephrectomy
Excision of a kidney. (Dorland, 28th ed)
Refractory Period, Electrophysiological
The period of time following the triggering of an ACTION POTENTIAL when the CELL MEMBRANE has changed to an unexcitable state and is gradually restored to the resting (excitable) state. During the absolute refractory period no other stimulus can trigger a response. This is followed by the relative refractory period during which the cell gradually becomes more excitable and the stronger impulse that is required to illicit a response gradually lessens to that required during the resting state.
Antigens, Cd57
Oligosaccharide antigenic determinants found principally on NK cells and T-cells. Their role in the immune response is poorly understood.
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