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Consent form 1). OPEN PYELOLITHOTOMY ... NEED TO DO FURTHER OPEN SURGERY OR RADIOLOGICAL PROCEDURES TO REMOVE STONE.

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How to fill out open pyelolithotomy:

1. Preoperative evaluation: An open pyelolithotomy is a surgical procedure used to remove kidney stones. Before undergoing this procedure, the patient will need to undergo a thorough preoperative evaluation, which may include blood tests, urine tests, imaging studies such as X-rays or CT scans, and possibly a discussion with an anesthesiologist.
2. Anesthesia: A patient undergoing open pyelolithotomy will require general anesthesia. This means they will be asleep and pain-free throughout the entire procedure.
3. Incision: The surgeon will make an incision in the patient's abdomen or flank to access the kidney. The size and location of the incision will depend on various factors, including the location and size of the stone.
4. Exposure: The surgeon will carefully expose the kidney to visualize the stone and surrounding structures. This may involve gentle manipulation of tissue and organ structures to gain adequate access to the stone.
5. Stone removal: The surgeon will identify the stone and use specialized instruments to remove it from the kidney. The technique used will depend on the size and location of the stone. In some cases, the stone may need to be fragmented prior to removal.
6. Closure: Once the stone has been successfully removed, the surgeon will close the incision using sutures or staples. They may also use drains to help remove any excess fluid or blood from the surgical site.

Who needs open pyelolithotomy:

1. Patients with large or complex kidney stones: Open pyelolithotomy is typically reserved for patients with large or complex kidney stones that cannot be effectively treated using less invasive methods, such as shock wave lithotripsy or ureteroscopy.
2. Those who have failed other treatments: If a patient has already undergone other treatments for kidney stones, such as medication or minimally invasive procedures, and these methods have been unsuccessful in removing the stones, open pyelolithotomy may be considered.
3. Unstable or obstructed kidney function: If a patient's kidney function is significantly compromised or if there is an obstruction in the urinary tract due to the stone, open pyelolithotomy may be necessary to quickly and effectively remove the stone and improve kidney function.

It is important to note that the decision to undergo open pyelolithotomy is made on an individual basis and should be made in consultation with a healthcare provider who can evaluate the patient's specific condition and recommend the most appropriate treatment approach.

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