Fibrin glue in renal and ureteral trauma
Fibrin glue (FG) made with highly concentrated human fibrinogen and clotting factors was used to achieve hemostasis of fourteen renal injuries and to seal three ureteral anastomoses in 15 patients. The cause of injury included twelve gunshot wounds, four stab wounds, and one iatrogenie ureteral inju...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 1989-03, Vol.33 (3), p.215-218 |
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| container_title | Urology (Ridgewood, N.J.) |
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| creator | Kram, Harry B. Ocampo, Hermenegildo E. Yamaguchi, Miles P. Nathan, Ragu C. Shoemaker, William C. |
| description | Fibrin glue (FG) made with highly concentrated human fibrinogen and clotting factors was used to achieve hemostasis of fourteen renal injuries and to seal three ureteral anastomoses in 15 patients. The cause of injury included twelve gunshot wounds, four stab wounds, and one iatrogenie ureteral injury. The mean intraoperative blood loss was 1.6 ± 1.1 L (SD), and patients received 4 ± 5 units of blood perioperatively. Utilizing the described techniques, FG was effective in achieving hemostasis and sealing ureteral suture lines against leakage in all cases. There were no cases of renal infection, rebleeding, urinary fistulas, delayed rupture, stone formation, or urinary tract obstruction. Two patients underwent re-exploration for causes unrelated to their renal or ureteral injuries. The use of FG was associated with less reliance on suture redundancy to achieve parenchymal hemostasis and perform ureteral anastomoses. FG sealing of renal and ureteral injuries is a safe and effective technique for controlling hemorrhage and sealing anastomoses. It is effective in the management of both superficial and deep renal injuries. |
| doi_str_mv | 10.1016/0090-4295(89)90395-6 |
| format | Article |
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The cause of injury included twelve gunshot wounds, four stab wounds, and one iatrogenie ureteral injury. The mean intraoperative blood loss was 1.6 ± 1.1 L (SD), and patients received 4 ± 5 units of blood perioperatively. Utilizing the described techniques, FG was effective in achieving hemostasis and sealing ureteral suture lines against leakage in all cases. There were no cases of renal infection, rebleeding, urinary fistulas, delayed rupture, stone formation, or urinary tract obstruction. Two patients underwent re-exploration for causes unrelated to their renal or ureteral injuries. The use of FG was associated with less reliance on suture redundancy to achieve parenchymal hemostasis and perform ureteral anastomoses. FG sealing of renal and ureteral injuries is a safe and effective technique for controlling hemorrhage and sealing anastomoses. 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The cause of injury included twelve gunshot wounds, four stab wounds, and one iatrogenie ureteral injury. The mean intraoperative blood loss was 1.6 ± 1.1 L (SD), and patients received 4 ± 5 units of blood perioperatively. Utilizing the described techniques, FG was effective in achieving hemostasis and sealing ureteral suture lines against leakage in all cases. There were no cases of renal infection, rebleeding, urinary fistulas, delayed rupture, stone formation, or urinary tract obstruction. Two patients underwent re-exploration for causes unrelated to their renal or ureteral injuries. The use of FG was associated with less reliance on suture redundancy to achieve parenchymal hemostasis and perform ureteral anastomoses. FG sealing of renal and ureteral injuries is a safe and effective technique for controlling hemorrhage and sealing anastomoses. It is effective in the management of both superficial and deep renal injuries.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aprotinin - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Diseases of the urinary system</subject><subject>Drug Combinations - administration & dosage</subject><subject>Factor XIII - administration & dosage</subject><subject>Female</subject><subject>Fibrin Tissue Adhesive</subject><subject>Fibrinogen - administration & dosage</subject><subject>Humans</subject><subject>Kidney - diagnostic imaging</subject><subject>Kidney - injuries</subject><subject>Kidney - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Radiography</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Thrombin - administration & dosage</subject><subject>Ureter - diagnostic imaging</subject><subject>Ureter - injuries</subject><subject>Ureter - surgery</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UE1LAzEQDaLUWv0HCr0o9bCa7GayyUWQYlUoeOk9pLOzEtmPmuwK_nu3ttSbMPAY3pvHvMfYpeB3ggt1z7nhiUwNzLS5NTwzkKgjNhaQ5okxBo7Z-CA5ZWcxfnDOlVL5iI1SqUBJNWazhV8H30zfq56mAwZqXDV1TTHtA3UUhqULrq_dOTspXRXpYo8Ttlo8reYvyfLt-XX-uEww03mXSMBMZJoUOnKcStIAGTop1zLXaSokokNICwSSKECtSyhBGwDHpeGQTdjNznYT2s-eYmdrH5GqyjXU9tHmWiuQqR6EcifE0MYYqLSb4GsXvq3gdtuP3Ya32_BWG_vbj1XD2dXev1_XVByO9oUM_PWedxFdVQbXoI9_3kZxkQ0zYQ87HQ1dfHkKNqKnBqnwgbCzRev_f-QHnvB_gQ</recordid><startdate>19890301</startdate><enddate>19890301</enddate><creator>Kram, Harry B.</creator><creator>Ocampo, Hermenegildo E.</creator><creator>Yamaguchi, Miles P.</creator><creator>Nathan, Ragu C.</creator><creator>Shoemaker, William C.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19890301</creationdate><title>Fibrin glue in renal and ureteral trauma</title><author>Kram, Harry B. ; Ocampo, Hermenegildo E. ; Yamaguchi, Miles P. ; Nathan, Ragu C. ; Shoemaker, William C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-45c3138e6caea0efe8553ca44b4782214ccac52dc5e4c156bf5f58955a049053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aprotinin - administration & dosage</topic><topic>Biological and medical sciences</topic><topic>Diseases of the urinary system</topic><topic>Drug Combinations - administration & dosage</topic><topic>Factor XIII - administration & dosage</topic><topic>Female</topic><topic>Fibrin Tissue Adhesive</topic><topic>Fibrinogen - administration & dosage</topic><topic>Humans</topic><topic>Kidney - diagnostic imaging</topic><topic>Kidney - injuries</topic><topic>Kidney - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Radiography</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Thrombin - administration & dosage</topic><topic>Ureter - diagnostic imaging</topic><topic>Ureter - injuries</topic><topic>Ureter - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kram, Harry B.</creatorcontrib><creatorcontrib>Ocampo, Hermenegildo E.</creatorcontrib><creatorcontrib>Yamaguchi, Miles P.</creatorcontrib><creatorcontrib>Nathan, Ragu C.</creatorcontrib><creatorcontrib>Shoemaker, William C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kram, Harry B.</au><au>Ocampo, Hermenegildo E.</au><au>Yamaguchi, Miles P.</au><au>Nathan, Ragu C.</au><au>Shoemaker, William C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fibrin glue in renal and ureteral trauma</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>1989-03-01</date><risdate>1989</risdate><volume>33</volume><issue>3</issue><spage>215</spage><epage>218</epage><pages>215-218</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>Fibrin glue (FG) made with highly concentrated human fibrinogen and clotting factors was used to achieve hemostasis of fourteen renal injuries and to seal three ureteral anastomoses in 15 patients. The cause of injury included twelve gunshot wounds, four stab wounds, and one iatrogenie ureteral injury. The mean intraoperative blood loss was 1.6 ± 1.1 L (SD), and patients received 4 ± 5 units of blood perioperatively. Utilizing the described techniques, FG was effective in achieving hemostasis and sealing ureteral suture lines against leakage in all cases. There were no cases of renal infection, rebleeding, urinary fistulas, delayed rupture, stone formation, or urinary tract obstruction. Two patients underwent re-exploration for causes unrelated to their renal or ureteral injuries. The use of FG was associated with less reliance on suture redundancy to achieve parenchymal hemostasis and perform ureteral anastomoses. FG sealing of renal and ureteral injuries is a safe and effective technique for controlling hemorrhage and sealing anastomoses. It is effective in the management of both superficial and deep renal injuries.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2465646</pmid><doi>10.1016/0090-4295(89)90395-6</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Adult Aprotinin - administration & dosage Biological and medical sciences Diseases of the urinary system Drug Combinations - administration & dosage Factor XIII - administration & dosage Female Fibrin Tissue Adhesive Fibrinogen - administration & dosage Humans Kidney - diagnostic imaging Kidney - injuries Kidney - surgery Male Medical sciences Methods Middle Aged Radiography Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Thrombin - administration & dosage Ureter - diagnostic imaging Ureter - injuries Ureter - surgery |
| title | Fibrin glue in renal and ureteral trauma |
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