S M Selikowitz1, M R Curtis. 1. Department of Surgery, Department of Veterans Affairs Regional Medical and Office Center, White River Junction, Vermont, USA.
Abstract
PURPOSE: A secure method of achieving hemostasis during partial nephrectomy to accomplish guillotine polar amputation is described. MATERIALS AND METHODS: A common hardware item, the so-called cable tie, proved to be useful during removal of a block of neoplastic renal tissue from the lower central pole of a unilateral kidney. RESULTS: Complete hemostasis and resection of the renal parenchyma were obtained with ease and minimal expense. CONCLUSIONS: The use of a flexible plastic compression tape has proved valuable to adhere to organ contours closely, maximally control bleeding and marking a line of incision during amputation of a portion of the renal substance. This device may prove useful for analogous surgical purposes with other vascular organs.
PURPOSE: A secure method of achieving hemostasis during partial nephrectomy to accomplish guillotine polar amputation is described. MATERIALS AND METHODS: A common hardware item, the so-called cable tie, proved to be useful during removal of a block of neoplastic renal tissue from the lower central pole of a unilateral kidney. RESULTS: Complete hemostasis and resection of the renal parenchyma were obtained with ease and minimal expense. CONCLUSIONS: The use of a flexible plastic compression tape has proved valuable to adhere to organ contours closely, maximally control bleeding and marking a line of incision during amputation of a portion of the renal substance. This device may prove useful for analogous surgical purposes with other vascular organs.