Zincke H, Ruckle H C
Department of Urology, Mayo Clinic, Rochester, Minnesota, USA.
Urology. 1995 Jul;46(1):96-8. doi: 10.1016/S0090-4295(99)80168-X.
Closure of renal parenchymal defects created by partial nephrectomy can be difficult. We describe a method of using exogenous material to bolster the strength of the parenchymal closure. The horizontal mattress sutures closing the renal parenchyma are less likely to tear through the parenchyma as the result of the application of a more uniform tension across a broad front. This technique is particularly helpful for large and irregular defects. Tying the closure sutures over an exogenous bolster material aids in a rapid, hemostatic, and watertight closure.
肾部分切除术后造成的肾实质缺损的闭合可能会很困难。我们描述了一种使用外源材料来增强实质闭合强度的方法。由于在较宽的前沿施加了更均匀的张力，用于闭合肾实质的水平褥式缝合线穿过实质撕裂的可能性较小。该技术对大的和不规则的缺损特别有帮助。在外源支撑材料上系紧闭合缝线有助于实现快速、止血和水密性闭合。
