Abstract
Aim. Improvement of the quality of the kidney resection.
 Materials and Methods. A total of 50 laparoscopic kidney resections were performed on pig models. In 25 cases, resection was carried out according to the standard method of hemostasis of the kidney resection bed using U-shaped hemostatic sutures vicryl 3-0. In 25 cases, the kidney resection bed was sutured according to the author's method of hemostasis of the kidney resection bed using a polypropylene mesh.
 Results. The mean operative time was comparable in the comparison groups, intraoperative blood loss was 30% lower in the group of pig models operated on with a prolene implant. The mean weight ratio of the resected kidney to the contralateral kidney was 77.3% after the classic resection of kidney and 85.6% after the resection with use of a prolene implant.
 Conclusion. Laparoscopic kidney resection using a mesh implant is a highly efficient method of kidney resection, providing high-quality hemostasis with less traumatization of healthy renal parenchyma. The proposed method is recommended for further study.
Highlights
In 25 cases, resection was carried out according to the standard method of hemostasis of the kidney resection bed using Ushaped hemostatic sutures vicryl 3-0
In 25 cases, the kidney resection bed was sutured according to the author's method of hemostasis of the kidney resection bed using a polypropylene mesh
The mean operative time was comparable in the comparison groups, intraoperative blood loss was 30% lower in the group of pig models operated on with a prolene implant
Summary
ФГБОУ ВО Рязанский государственный медицинский университет им. акад. И.П. В 25 случаях резекция проводилась по стандартной методике гемостаза ложа резекции почки с применением П-образных гемостатических швов викрил 3-0. В 25 случаях ложе резекции почки ушивалось по авторской методике гемостаза ложа резекции почки с применением полипропиленовой сетки. Лапароскопическая резекция почки с применением сетчатого импланта – эффективный способ выполнения резекции почки, обеспечивающий качественный гемостаз при меньшей травматизации здоровой почечной паренхимы. In 25 cases, resection was carried out according to the standard method of hemostasis of the kidney resection bed using Ushaped hemostatic sutures vicryl 3-0. In 25 cases, the kidney resection bed was sutured according to the author's method of hemostasis of the kidney resection bed using a polypropylene mesh. Laparoscopic kidney resection using a mesh implant is a highly efficient method of kidney resection, providing high-quality hemostasis with less traumatization of healthy renal parenchyma.
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