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- Open Placement of Nephrostomy Tube in Dogs

- Before surgery, a blood sample will be analyzed to ensure anesthetization is safe for the dog.
- General anesthesia and pain management medications are administered intravenously throughout surgery.
- The surgeon will shave, clean, and drape the operative area.
- The surgeon will then surgically access and explore the kidney.
- The renal pelvis is then opened, and the surgeon will determine the best calyx in which to place the nephrostomy tube.
- Once placed, the surgeon will perform a nephropexy, which involves surgically fixating the kidney in its normal position.
- A collection apparatus is attached so that the urine can drain naturally until the obstruction resolves. It will remain in place for at least four weeks.
- The tube will then be passed through the body wall and sutured to the skin.
- The dog will be hospitalized to ensure the tube does not dislodge or cause immediate postoperative complications.
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- Bleeding
- Infection
- Urine leakage
- Insufficient drainage
- Intraoperative trauma to the kidneys
- Tube dislodgement or damage
- Recurrence of the condition
