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A new renal tourniquet for open and laparoscopic partial nephrectomy
I S Gill1, L C Munch, R V Clayman
1Division of Urology, University of Kentucky Medical Center, Lexington, USA.
The Journal of Urology
|September 1, 1995
Summary
A new double loop renal tourniquet effectively achieves hemostasis during partial nephrectomy procedures. This innovative device provides secure control without occluding the renal artery or requiring hypothermia.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Achieving hemostasis during partial nephrectomy is critical.
- Existing methods may involve renal artery occlusion or hypothermia, which have potential drawbacks.
Purpose of the Study:
- To describe a novel double loop renal parenchymal tourniquet.
- To evaluate its efficacy in obtaining hemostasis during open and laparoscopic partial nephrectomy.
Main Methods:
- A double loop tourniquet is applied around the renal poles, cinching to create a tourniquet effect.
- The technique avoids occlusion of the renal artery and does not necessitate intraoperative renal hypothermia.
Main Results:
- The tourniquet was successfully used in 6 open and 1 laparoscopic partial nephrectomies.
- In laparoscopic nephrectomies (porcine and clinical), the device improved kidney maneuverability.
Conclusions:
- The novel renal tourniquet provides adequate hemostasis for partial nephrectomy.
- It offers a viable alternative for both open and laparoscopic approaches.