Local hemostasis of nephrostomy tract with fibrin adhesive sealing in percutaneous nephrolithotomy.
In 26 patients percutaneous nephrolithotomy was carried out under local anesthesia with systemic sedation. Instead of the 25-French nephrostomy catheter used so far, a 5- or 10-French nephrostomy catheter prepared with a collagen-fibrin adhesive sealant was introduced into the nephrostomy tract. In all cases, excellent hemostasis was attained with the fibrin glue. In applying a fibrin glue, the danger of protracted venous or arterial hemorrhage from the parenchymal canal can be markedly reduced; the large-lumen nephrostomy catheter can also be dispensed with.
D007611:Aprotinin / Q000008:administration & dosage*; D004338:Drug Combinations / Q000008:administration & dosage; D005176:Factor XIII / Q000008:administration & dosage*; D005260:Female; D015718:Fibrin Tissue Adhesive; D005340:Fibrinogen / Q000008:administration & dosage*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery; D008297:Male; D009403:Nephrostomy, Percutaneous; D013917:Thrombin / Q000008:administration & dosage*; D014014:Tissue Adhesives / Q000008:administration & dosage*; D014514:Ureteral Calculi / Q000601:surgery
D004338:Drug Combinations; D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives; D005340:Fibrinogen; D005176:Factor XIII; D007611:Aprotinin; D013917:Thrombin