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В норме почка обладает физиологической подвижностью, смещаясь на 1–2 см при дыхании и изменении позы, но при нефроптозе (опущении почки) амплитуда движения превышает допустимые пределы [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). \n\nСуществует два вида нефропексии [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya): \n1. **Открытая** — традиционный способ с фиксацией почки к мышцам поясницы, сегодня применяется редко из-за высокой травматичности [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). \n2. **Лапароскопическая** — проводится под общей анестезией, длится 1–2 часа [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). Для фиксации используются рассасывающиеся сетки или шовный материал [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya).\n\n\n\n## Показания\nОперация рекомендована при **нефроптозе II–III степени**, когда почка опускается из-за ослабления или растяжения связок, поддерживающих её [8](https://dr-opolskiy.ru/usluga/lechenie-nefroptoza-pochki/laparoskopicheskaya-nefropeksiya). Также нефропексию проводят при других состояниях, когда почка нуждается в дополнительной поддержке, например, при гипермобильности почки или после травмы [9](https://Euromed.ru/service-list/laparoskopicheskaya-nefropeksiya/).\n\n## Противопоказания\nНекоторые противопоказания к нефропексии: \n* тяжёлые сердечно-сосудистые патологии [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya); \n* острые инфекционные процессы [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya); \n* коагулопатии (нарушения свёртываемости крови) [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya).\n\n## Методика проведения\n**Ход операции** [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya): \n1. Пневмоперитонеум (нагнетание газа для создания рабочего пространства) [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). \n2. Мобилизация почки и её фиксация к мышцам или ребру [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). \n3. Наложение швов или установка сетки [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). \n4. Завершение: дренирование (при необходимости), извлечение инструментов [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). \n\nПродолжительность операции — от 40 минут до 2 часов [2](https://medsurgeon.ru/napravleniya/urologiya/nefropeksiya/).\n\n## Реабилитация\n**Послеоперационный период** при лапароскопической нефропексии занимает от 4 до 6 недель [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). Некоторые рекомендации: \n* **Ранний послеоперационный период (первые 7 дней)**: госпитализация — 2–3 дня при отсутствии осложнений, дренаж (если устанавливался) удаляют на 1–2 сутки [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). \n* **Поздний восстановительный этап (2–6 недель)**: ограничения — запрет на подъём тяжестей (>3 кг), резкие наклоны, интенсивные тренировки [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). \n* **Контрольные обследования**: УЗИ через 1 месяц для оценки положения почки [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). \n* **Физиотерапия**: по показаниям (магнитотерапия, электрофорез) для улучшения микроциркуляции [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya). \n* **Возврат к работе**: при сидячем труде — через 7–10 дней, при физических нагрузках — через 4–6 недель [1](https://ckb.rzd-medicine.ru/uslugi/nefropeksiya).","linksData":[{"sourceId":1,"url":"https://ckb.rzd-medicine.ru/uslugi/nefropeksiya","shownUrl":"https://ckb.rzd-medicine.ru/uslugi/nefropeksiya","title":"Нефропексия в Москве и МО | Диагностика, консультация, лечение и запись на прием в «РЖД-Медицине»","shortUrl":"ckb.rzd-medicine.ru","isTranslated":false,"description":"","greenUrl":"ckb.rzd-medicine.ru"},{"sourceId":2,"url":"https://medsurgeon.ru/napravleniya/urologiya/nefropeksiya/","shownUrl":"https://medsurgeon.ru/napravleniya/urologiya/nefropeksiya/","title":"Нефропексия","shortUrl":"medsurgeon.ru","isTranslated":false,"description":"","greenUrl":"medsurgeon.ru"},{"sourceId":3,"url":"https://100med.ru/directions/urologiya/nefropeksiya/","shownUrl":"https://100med.ru/directions/urologiya/nefropeksiya/","title":"Нефропексия в Москве - 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