28 patients with vasorenal hypertension complicated by renal failure were operated. 20, 7 and 1 patients were in the stages of compensation, subcompensation and decompensation, respectively. Nephrectomy, plastic reconstruction of renal artery, nephropexy, dilation of the renal artery were made. Validity of adrenalectomy is discussed. Good and satisfactory responses were observed in 50 and 35.7% of cases. 14.3% of the patients failed treatment. Poor effect was observed in long-term and severe arterial hypertension and late stages of renal insufficiency.

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