Ligation of the Renal Pedicle.
—Uteau1 discusses several methods of ligation of the renal pedicle. A ligation en masse, including the ureter, is occasionally practiced, but is not advisable in all cases, as the efficiency of the ligation tends to be decreased if the ureter is thickened, infected and dilated. A ligation en masse, after separation of the ureter, is used by many operators. Albarran advised ligation by fixation. Clamps are not used in this method, and the pedicle is ligated in sections by means of a blunt needle and ligature. Cathelin separates the various portions of the pedicle and ligates them separately. Uteau separates the ureter from the pedicle and places a ligature around the vessels. He clamps a section of the pedicle and cuts on the renal side, places a second clamp in a slightly different plane, and cuts through the pedicle. After placing a separate
SCHOLL AJ, JUDD ES, KEYSER LD, FOULDS GS, VERBRUGGE J. A REVIEW OF UROLOGIC SURGERY. Arch Surg. 1925;10(2):774-812. doi:10.1001/archsurg.1925.01120110174010