Use of oxidized cellulose hemostats (Surgicel™) to support parenchymal closure and achieve hemostasis following partial nephrectomy.

Elective nephron-sparing surgery (NSS) for renal cell carcinoma (RCC) has gained general acceptance as an alternative to radical nephrectomy. To achieve hemostasis without risk of local ischemia and necrosis of kidney parenchyma after standard hemostatic suturing, we investigated oxidized cellulose hemostats' efficacy and safety as atraumatic hemostatic treatment and for the closure of a large parenchymal defect after kidney tumor resection. Our approach has been particularly helpful for repairing large and irregular renal parenchymal defects. This study demonstrates the use of oxidized cellulose hemostats is effective for rapid, hemostatic closure of the kidney in association with partial nephrectomy.