Korean J Urol.  1968 Jul;9(2):81-86.

Clinical Observation on the Hemostasis of Partial Nephrectomy

Affiliations
  • 1Department of Urology, Pusan National University College of Medicine, Pusan, Korea.

Abstract

1. Partial nephrectomy was done on 7 cases of various renal diseases including 5 cases of renal tuberculosis, 1 case of renal stone and l case of focal nephritis.Satisfactory results were noted in 5 cases of them. while in other 2 cases secondary nephrectomy was indicated because of severe postoperative shock and profuse hematuria. 2. Through the clinical experiences on the partial nephrectomy, it is believed that the method of choice in effective hemostasis during the operation should be included (a) the blunt division of renal parenchyma using scalpel han8e, (b) accurate ligation of the parenchymal vessels found during the division and (c) suture of the arcuate vessels at the corticomedullary junction under the aid of renal arterial clamping. On the other hand, tense and deep mattress suture to get indirect hemostasis is considered to be inadequate and unfavorable for the method having brought parenchymal necrosis and profuse delayed hemorrhage in a few instances. 3. Duration of renal arterial clamping using Bulldog clamp ranged about 30 minutes or so, and no definite renalinjury followed after the procedure.

Keyword

hemostasis; partial nephrectomy

MeSH Terms

Constriction
Hand
Hematuria
Hemorrhage
Hemostasis*
Ligation
Necrosis
Nephrectomy*
Shock
Sutures
Transcutaneous Electric Nerve Stimulation
Tuberculosis, Renal
Full Text Links
  • KJU
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error