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J Urol. 1995 Sep;154(3):1113-6.

A new renal tourniquet for open and laparoscopic partial nephrectomy.

Author information

1
Division of Urology, University of Kentucky Medical Center, Lexington, USA.

Abstract

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.

PMID:
7637056
[Indexed for MEDLINE]
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