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  • Title: A new renal tourniquet for open and laparoscopic partial nephrectomy.
    Author: Gill IS, Munch LC, Clayman RV, McRoberts JW, Nickless B, Roemer FD.
    Journal: J Urol; 1995 Sep; 154(3):1113-6. PubMed ID: 7637056.
    Abstract:
    PURPOSE: 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.
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