A simple new technique to prevent bleeding in transplant nephrectomy.
Renal transplantectomy is still a frequent procedure for a transplant surgeon. Nevertheless, it is constantly marred by complications, first of all bleeding. In fact, the local circumstances after the operation and the general health state of the uremic patients lead to a high incidence of this complication. To avoid this, we adopt a particular technique for renal extracapsular transplantectomy, performing three running sutures between the two faces of the renal capsule. This prevents the formation of the hematoma which is the basis of the continuous bleeding and following infection. We collected a series of nine patients who underwent transplantectomy in which we used this technique. No complications were noted.
Ghinolfi
Davide
D
Department of General Surgery and Transplantation, S. Martino Hospital, Largo R. Benzi 10, Genoa, Italy. davide.ghinolfi@umassmed.edu
Arcuri
Valentino
V
Fontana
Iris
I
Beatini
Marco
M
Bertocchi
Massimo
M
Valente
Umberto
U
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007432:Intraoperative Period; D016030:Kidney Transplantation; D019520:Living Donors; D009392:Nephrectomy; D020858:Tissue and Organ Harvesting / Q000379:methods*