PURPOSE: We describe a novel double loop renal parenchymal tourniquet for obtaining hemostasis during open and laparoscopic partial nephrectomy. METHODS: 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. RESULTS: 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. CONCLUSIONS: The novel renal tourniquet affords adequate renal parenchymal hemostasis during open and laparoscopic partial nephrectomy.
PURPOSE: We describe a novel double loop renal parenchymal tourniquet for obtaining hemostasis during open and laparoscopic partial nephrectomy. METHODS: 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. RESULTS: 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. CONCLUSIONS: The novel renal tourniquet affords adequate renal parenchymal hemostasis during open and laparoscopic partial nephrectomy.
Authors: Francisco Rodríguez-Covarrubias; Bernardo Gabilondo; José L Borgen; Fernando Gabilondo Journal: Int Urol Nephrol Date: 2007-02-20 Impact factor: 2.370
Authors: Young Hwii Ko; Hoon Choi; Sung Gu Kang; Seok Ho Kang; Hong Seok Park; Jun Cheon; Jeong Gu Lee; Je Jong Kim; Duck Ki Yoon Journal: Korean J Urol Date: 2010-01-21
Authors: Yair Lotan; Matthew T Gettman; Guy Lindberg; Cheryl A Napper; John Hoopman; Margaret S Pearle; Jeffrey A Cadeddu Journal: JSLS Date: 2004 Jan-Mar Impact factor: 2.172