title: [Titanium metallic clips: easier and faster than conventional suturing for heterotopic renal autotransplant in growing pigs].
abstract: BACKGROUND
  When performing vascular reconstruction in growing elements, specifically in paediatric transplant surgery, where a short vascular occlusion time is mandatory, master and easily handled suturing methods are needed. Thus the present study compares conventional continuous suturing with polypropylene and dexon versus easier and faster to apply titanium clips in heterotopic renal autotransplants.
  
  
  METHODS
  24 growing pigs were used for this study. Heterotopic renal autotransplant was performed when the animals were 45-days-old using VCS clips, continous Polypropylene or Dexon suturing when anastomosing the renal artery and vein to the aorta and cava in an end-to-side fashion
  
  
  RESULTS
  VCS clips were easy to use for the surgeon, significantly (P < or = 0.001) decreasing the time needed for end-to-side anastomosis of the renal artery to the aorta (clips, 5.31 +/- 0.80 min/Polypropylene, 14.25 +/- 2.25 min/Dexon, 14.37 +/- 2.97 min); and also the time needed for end-to-side anastomosis of the renal veins to the cava (clips, 8.25 +/- 1.98 min/Polypropylene, 16.25 +/- 2.96 min/Dexon, 19.00 +/- 4.50 min).
  
  
  CONCLUSIONS
  The use of VCS clips in heterotopic renal autotransplants significantly decreases the time needed for vascular reconstruction, compared to conventional suturing.
authors.affiliation: Unidad de Microcirugía, Centro de Cirugía de Mínima Invasión Jesús Usón, Cáceres. mccalles@ccmijesususon.com
authors.forename: M Carmen
authors.initials: MC
authors.lastname: Calles Vázquez
authors.forename: Elena
authors.initials: E
authors.lastname: Abellan Rubio
authors.forename: Verónica
authors.initials: V
authors.lastname: Crisóstomo Ayala
authors.forename: M Fernanda
authors.initials: MF
authors.lastname: Martín Cancho
authors.forename: Francisco M
authors.initials: FM
authors.lastname: Sánchez Margallo
authors.forename: Jesús
authors.initials: J
authors.lastname: Usón Gargallo
mesh_terms: D000818:Animals; D016030:Kidney Transplantation; D008297:Male; D013525:Surgical Instruments; D013536:Suture Techniques; D013537:Sutures; D013552:Swine; D013997:Time Factors; D014025:Titanium
chemical_list: D014025:Titanium