| Autor: |
S. V. Shkodkin, M. Z. A. A. Zubaidi, V. P. Bondarev, M. B. Chibichyan, E. G. Ponomarev, V. Yu. Nechiporenko, K. S. Shkodkin |
| Jazyk: |
ruština |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Vestnik Urologii, Vol 11, Iss 4, Pp 108-119 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2308-6424 |
| DOI: |
10.21886/2308-6424-2023-11-4-108-119 |
| Popis: |
Introduction. Nephron-sparing surgery for localised renal cell carcinoma has firmly entered the guideline base of all urological associations. One important aspect of this surgery is the management of the renal wound after partial nephrectomy. The abundance of haemostasis methods is not only the result of relentless search, but also the real lack of universal and effective technologies.Objective. To evaluate the effectiveness of various suture techniques in partial nephrectomy.Materials & methods. The suture techniques were studied on laboratory mature male rats weighing 280 – 350 g with bilateral partial nephrectomy. The groups were assessed: suture time and relative suture eruption rate as the ratio of the number of eruptions to the total number of ligatures tied, morphological appearance of the resection line on days 7 and 28.Results. In the continuous and novel suture groups, suture time and heat ischaemia time were comparable (p = 0.068). In the group of horizontal interrupted sutures, this indicator was significantly higher (p < 0.01). Optimization of the renorraphy technique using the novel original suture made it possible to reduce the incidence of eruption and hemorrhagic complications by 19.7% compared to the twist suture (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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