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Urology/Retoraortic renal vein

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Question
Before a hysterectomy, the surgeon ordered a test which showed my wife had a retro aortic renal vein. In the pre-surgery meeting the surgeon said he would do a simple robotic procedure. During the operation he knicked the vena cava and my wife went into DIC. Luckily she survived. Question should the surgeon have done a non robotic surgery ? We don't think he looked at the test.

Answer
Bob

I doubt the surgeon failed to look at the x-rays or even that the retro caval ureter had anything to do with the surgical problem. A robotic procedure is not unreasonable, but you need to be able to open if you get into trouble. If the surgeon has a track record of problems and lawsuits, then there is a problem. Anyone can have a bad event or outcome occasionally.  

Urology

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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