01 January 2010
The safety of hem-o-lock clips at donor nephrectomies
Nurettin Ay, Bulent Dinc, Ayhan Dinckan, Vural Taner Yilmaz, Okan Erdogan, Alihan GurkanAnn Transplant 2010; 15(1): 36-39 :: ID: 880566
Abstract
Background: Hem-o-lock (polymer) vascular clips have been used over a long period for vascular control at donor nephrectomies. With our study, safety of hem-o-lock clip use at donor nephrectomies (conventional donor nephrectomy, transabdominal donor nephrectomy and retroperitonoscopic donor nephrectomy) has been evaluated.
Material/Method: A total of 883 cases, consisting of conventional donor nephrectomy, transabdominal donor nephrectomy and retroperitonoscopic donor nephrectomy, performed between May 2006 and August 2009 were retrospectively evaluated. Of all cases, 803 were performed conventional donor nephrectomy, 85 were performed endoscopic donor nephrectomy. Five patients who had first undergone endoscopic donor nephrectomy had conversion operations.
Results: Vascular control at renal pedicle were obtained either with hem-o-lock clip ot vascular clamps. Cases with conventional donor nephrectomy were divided into two subgroups. Group I: cases which had transfixation sutures with 5.0 prolen in order to prevent clip separation after hem-o-lock clip use; Group II: cases without transfixation sutures. Only hem-o-lock sutures were used at laparoskopic and retroperitonoscopic techniques. Large and X-large clip and were used for renal arteries and two X-large clips were used for renal vein.
Conclusions: The most ideal method for vascular control at donor nephrectomy is controversial. Use of transfixation and hem-o-lock clips at conventional donor nephrectomy may be an alternative method. However for all three methods and at both groups, none of the cases who had undergone nephrectomy had bleeding or donor loss caused by hem-o-lock clips at intraoperative, perioperative anf postoperative periods. For this reason, we believe that use of hem-o-lock clips is a safe and reliable method for vascular control at donor nephrectomies.
Keywords: Nephrectomy
In Press
18 Mar 2024 : Original article
Does Antibiotic Use Increase the Risk of Post-Transplantation Diabetes Mellitus? A Retrospective Study of R...Ann Transplant In Press; DOI: 10.12659/AOT.943282
20 Mar 2024 : Original article
Transplant Nephrectomy: A Comparative Study of Timing and Techniques in a Single InstitutionAnn Transplant In Press; DOI: 10.12659/AOT.942252
28 Mar 2024 : Original article
Association Between FEV₁ Decline Rate and Mortality in Long-Term Follow-Up of a 21-Patient Pilot Clinical T...Ann Transplant In Press; DOI: 10.12659/AOT.942823
02 Apr 2024 : Original article
Liver Transplantation from Brain-Dead Donors with Hepatitis B or C in South Korea: A 2014-2020 Korean Organ...Ann Transplant In Press; DOI: 10.12659/AOT.943588
Most Viewed Current Articles
05 Apr 2022 : Original article
Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver TransplantationDOI :10.12659/AOT.935604
Ann Transplant 2022; 27:e935604
12 Jan 2022 : Original article
Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...DOI :10.12659/AOT.934738
Ann Transplant 2022; 27:e934738
22 Nov 2022 : Original article
Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...DOI :10.12659/AOT.937988
Ann Transplant 2022; 27:e937988
15 Mar 2022 : Case report
Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...DOI :10.12659/AOT.935860
Ann Transplant 2022; 27:e935860