Intermittent compression closure of the renal pedicle for control of massive bleeding from decapsulated kidney
Article published in Urologia Polska 1979/32/2.

authors

Jerzy Czopik

Klinika Urologii Instytutu Chirurgii Śl. AM im. L. Waryńskiego
Dyrektor Instytutu: prof. dr hab. Cz. Sadliński
Kierownik Kliniki: prof. dr hab. J. Zieliński

summary

In a patient after many operations, with bilateral recurrent cast pelvic calculi and inactive right kidney during a successive operation on the left side massive bleeding developed from the whole surface of the decapsulate kidney after removal of the stone. When all other methods of controlling the haemorrhage failed the vascular pedicle of the kidney was closed by means of a soft clamp. This madę possible normalization of blood pressure and supplementing of blood loss. The clamp was cept on the pedicle for 75 minutes releasing the compression for 2 mi­nutes at 15-minute intervals. After the last release of the clamp bleeding failed to return. Control examination after 2 years showed good functioning of the kidney.

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correspondence