ONE OF the keys to successful repair of the injured kidney is control of extensive hemorrhage from the cortex. It is obvious that a kidney worth saving should have an adequate blood supply. Therefore, at the present time, nephrectomy is warranted when the kidney, especially the renal cortex and vascular supply, is irretrievably damaged.
Nephrectomy carries minimum morbidity provided that the function of the opposite kidney is assured before surgery is undertaken. In many instances, packing to control hemorrhage and suture of renal pelvic tears are necessary together with perinephritic drainage or nephrectomy. The renal tissue withstands trauma well and may survive to function even in very unlikely circumstances. Therefore, if the hemorrhage from the renal cortex could be easily controlled, nephrectomy would be avoided.
In this work, control of bleeding was studied by use of the homologous series of α-cyanoacrylate adhesive monomers.
Material and Method
Butyl, amyl, heptyl cyanoacrylates
Matsumoto T, Pani KC, Hardaway RM, Leonard F, Jennings PB, Heisterkamp CA. Higher Homologous Cyanoacrylate Tissue Adhesives in Injured Kidney. Arch Surg. 1967;94(3):392-395. doi:10.1001/archsurg.1967.01330090086022