A new renal tourniquet for open and laparoscopic partial nephrectomy.
OBJECTIVE
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.
Gill
I S
IS
Division of Urology, University of Kentucky Medical Center, Lexington, USA.
Munch
L C
LC
Clayman
R V
RV
McRoberts
J W
JW
Nickless
B
B
Roemer
F D
FD
D000818:Animals; D006488:Hemostasis, Surgical / Q000295:instrumentation; D006801:Humans; D007668:Kidney / Q000098:blood supply*; D020706:Laparoscopes; D009392:Nephrectomy / Q000295:instrumentation*; D013552:Swine; D014111:Tourniquets