A new renal tourniquet for open and laparoscopic partial nephrectomy

Autor: I S, Gill, L C, Munch, R V, Clayman, J W, McRoberts, B, Nickless, F D, Roemer
Rok vydání: 1995
Předmět:
Zdroj: The Journal of urology. 154(3)
ISSN: 0022-5347
Popis: We describe a novel double loop renal parenchymal tourniquet for obtaining hemostasis during open and laparoscopic partial nephrectomy.One loop is positioned around the upper and 1 around the lower renal poles, thus securely entrapping the kidney. During partial nephrectomy the corresponding loop is double looped and cinched, thus achieving a tourniquet effect. The renal artery is not occluded. Intraoperative renal hypothermia is not required.The renal tourniquet was used clinically during 6 open and 1 laparoscopic partial nephrectomies. Furthermore, during laparoscopic nephrectomy (5 porcine and 1 clinical cases) the double loop apparatus allowed for improved maneuverability of the kidney.The novel renal tourniquet affords adequate renal parenchymal hemostasis during open and laparoscopic partial nephrectomy.
Databáze: OpenAIRE