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The aim of this work is to improve the results of complex treatment of patients with unilateral renal injury through the dynamic determination of renal blood flow disorders and its reasonable correction in the perioperative period. Based on the experimental study on 120 white Wistar rats in conditions of stable restriction of blood supply to the kidney parenchyma, acute disturbance of urodynamics, or their combination was reduced blood flow of the parenchyma of the injured kidney in proportion to the degree of pathological process, which occurs in the waveforms with maximum detection on the 3rd and 7th – 10th days. These disorders occur most clearly during the first 14 days, followed by stabilization of the process after 1 month. Adaptive-compensatory changes in the blood flow of the opposite kidney give a positive effect, starting from the 14th day, and lasting until the 4th month. Based on a clinical study using ultrasound Doppler and radioisotope studies, 108 patients with unilateral kidney damage were found to have impaired blood flow not only in the affected kidney but also in the opposite. A method of medical correction of disturbed blood flow during the perioperative period was developed and implemented, which allows to improve its quality by 7.8%.

THE STATE OF CIRCULATION OF THE PARENCHYMA OF THE KIDNEY WITH UNILATERAL LESION ND ITS CORRECTION IN THE PERIOPERATIVE PERIOD