Later that same day, the surgeon performs a procedure on Ms. Norman's right kidney. She makes the incision in the right posterior lumbar region. Will she cut through the same serous membrane(s) and cavities as in the previous procedure? Why or why not? How would this change if the incision were made on the anterior lumbar region?

Video transcript

Welcome back, everyone. Let's take a look at the next question. It says Barbie needs a kidney transplant but was worried about possible scarring on her abdomen. She asked if it would be possible to make the incision on the left posterior lumbar region versus what the surgeon said of approaching to the left lower abdominal quadrant. Why do you think the surgeon suggested that location knowing that the kidney is located posteriorly a the surgical site suggested by the surgeon is more ideal since it will not require any cutting of the muscles of the back b the posterior approach to kidney transplant is not advised because of the structures that obstruct access to the kidney C A and B or D, none of the above. Well, so let's think about make sure, properly oriented here. Remember that, recall that posterior means the backside of the body. So the kidneys are located posteriorly in the body. So the question is why when the kidneys are on the posterior side of the body, would when you're going to remove and replace the kidney, would the incision be better on the abdominal side? The left lower abdominal quadrant, let's look through these answer choices, knowing we could have A B both of those or none of those. So A says the surgical site select suggested by the surgeon. So the left lower abdominal. So coming from the front will not is more ideal since it will not require any cutting of the muscles of the back. And this is definitely correct when you think about the back and all the many muscles that connect the various vertebrae to each other to other parts of the body. You can see there's far more musculature there and cutting through those will cause a lot more issues. In terms of healing, then going through the left, lower through the, excuse me through the lower abdominal region. In terms of the amount of muscles that will be cut in a surgical incision. Choice B, the posterior approach is not advised because of the structures that obser obstruct access to the kidney. Again, going through the posterior area, you have all the vertebrae and structures surrounding them. And it's very important for ST surgeons to have an unobstructed view when performing a kidney transplant. And using the abdominal approach, it's a lot easier for the kidney to be well visualized when doing that surgery. So B is also correct. So our answer here will be choice C A and B. And obviously, we can eliminate choice D, none of the above oops accidentally circled in red. So circle choice C cross out choice the, none of the above and you know, finally to thoroughly go over it. The reason for the suggestion of the posterior lumbar region was to reduce scarring on the abdomen. But of course, in terms of surgical considerations, things like um damage to muscles and a good view for the surgeon scarring would be the lowest priority of these considerations. If a laparoscopic surgery were being performed, for example, then that could be considered more. But in this case, the two other considerations are far more important. So the surgeon's suggestion of an incision on the left lower abdominal quadrant, even though the kidney is located posteriorly is due to choice C both A and B. See you in the next video.