Hemostatic control with flexible compression tape used during partial nephrectomy and organ salvage.

Abstract

A secure method of achieving hemostasis during partial nephrectomy to accomplish guillotine polar amputation is described. A common hardware item, the so-called cable tie, proved to be useful during removal of a block of neoplastic renal tissue from the lower central pole of a unilateral kidney. Complete hemostasis and resection of the renal parenchyma were obtained with ease and minimal expense. The use of a flexible plastic compression tape has proved valuable to adhere to organ contours closely, maximally control bleeding and marking a line of incision during amputation of a portion of the renal substance. This device may prove useful for analogous surgical purposes with other vascular organs.