Comparison of three different techniques of extraction in laparoscopic donor nephrectomy
Aim: We compare the outcome of three different methods of graft extraction after a laparoscopic donor nephrectomy. Materials and Methods: After a conventional five port laparoscopic donor nephrectomy, specimen was extracted through one of three approaches: 1. Iliac fossa (IF) incision and hand extr...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2013-01-01
|
| Series: | Indian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2013;volume=29;issue=3;spage=184;epage=187;aulast=Adiyat |
| _version_ | 1819209191403814912 |
|---|---|
| author | Kishore Thekke Adiyat B K Tharun Abijit Shetty Srinivas Samavedi |
| author_facet | Kishore Thekke Adiyat B K Tharun Abijit Shetty Srinivas Samavedi |
| author_sort | Kishore Thekke Adiyat |
| collection | DOAJ |
| description | Aim: We compare the outcome of three different methods of graft extraction after a laparoscopic donor nephrectomy.
Materials and Methods: After a conventional five port laparoscopic donor nephrectomy, specimen was extracted through one of three approaches: 1. Iliac fossa (IF) incision and hand extraction, 2. Midline (MD) periumbilical with a lower polar fat stitch incorporating gonadal vein for traction while retrieval, and 3. Pfannensteil (PF) with Gel port extraction. Estimated blood loss, operating time, warm ischemia time, incision length, pain score, analgesic consumption, hospital stay, wound complications, graft complications and recipient creatinine at 6 weeks were analyzed.
Results: Warm ischemia time was significantly reduced in PF group when compared to other groups. Length of the incision was less in the MD group compared to other groups. Wound complications were significantly less in PF group when compared to other groups. Graft extraction complications were significantly high in MD group compared to other two groups.
Conclusion: Based on the results obtained, our current method of preference is by Pfannensteil incision. A controlled extraction with the use of a hand assist device would be best for donor safety and to avoid graft related complications. |
| first_indexed | 2024-12-23T05:51:21Z |
| format | Article |
| id | doaj.art-ae1d4fecb87d4de8bceff26bb7baab64 |
| institution | Directory Open Access Journal |
| issn | 0970-1591 1998-3824 |
| language | English |
| last_indexed | 2024-12-23T05:51:21Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Urology |
| spelling | doaj.art-ae1d4fecb87d4de8bceff26bb7baab642022-12-21T17:57:57ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242013-01-0129318418710.4103/0970-1591.117279Comparison of three different techniques of extraction in laparoscopic donor nephrectomyKishore Thekke AdiyatB K TharunAbijit ShettySrinivas SamavediAim: We compare the outcome of three different methods of graft extraction after a laparoscopic donor nephrectomy. Materials and Methods: After a conventional five port laparoscopic donor nephrectomy, specimen was extracted through one of three approaches: 1. Iliac fossa (IF) incision and hand extraction, 2. Midline (MD) periumbilical with a lower polar fat stitch incorporating gonadal vein for traction while retrieval, and 3. Pfannensteil (PF) with Gel port extraction. Estimated blood loss, operating time, warm ischemia time, incision length, pain score, analgesic consumption, hospital stay, wound complications, graft complications and recipient creatinine at 6 weeks were analyzed. Results: Warm ischemia time was significantly reduced in PF group when compared to other groups. Length of the incision was less in the MD group compared to other groups. Wound complications were significantly less in PF group when compared to other groups. Graft extraction complications were significantly high in MD group compared to other two groups. Conclusion: Based on the results obtained, our current method of preference is by Pfannensteil incision. A controlled extraction with the use of a hand assist device would be best for donor safety and to avoid graft related complications.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2013;volume=29;issue=3;spage=184;epage=187;aulast=AdiyatLaparoscopynephrectomyPfannensteilwarm ischemia |
| spellingShingle | Kishore Thekke Adiyat B K Tharun Abijit Shetty Srinivas Samavedi Comparison of three different techniques of extraction in laparoscopic donor nephrectomy Indian Journal of Urology Laparoscopy nephrectomy Pfannensteil warm ischemia |
| title | Comparison of three different techniques of extraction in laparoscopic donor nephrectomy |
| title_full | Comparison of three different techniques of extraction in laparoscopic donor nephrectomy |
| title_fullStr | Comparison of three different techniques of extraction in laparoscopic donor nephrectomy |
| title_full_unstemmed | Comparison of three different techniques of extraction in laparoscopic donor nephrectomy |
| title_short | Comparison of three different techniques of extraction in laparoscopic donor nephrectomy |
| title_sort | comparison of three different techniques of extraction in laparoscopic donor nephrectomy |
| topic | Laparoscopy nephrectomy Pfannensteil warm ischemia |
| url | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2013;volume=29;issue=3;spage=184;epage=187;aulast=Adiyat |
| work_keys_str_mv | AT kishorethekkeadiyat comparisonofthreedifferenttechniquesofextractioninlaparoscopicdonornephrectomy AT bktharun comparisonofthreedifferenttechniquesofextractioninlaparoscopicdonornephrectomy AT abijitshetty comparisonofthreedifferenttechniquesofextractioninlaparoscopicdonornephrectomy AT srinivassamavedi comparisonofthreedifferenttechniquesofextractioninlaparoscopicdonornephrectomy |