RT Book, Section
A1 Miyara, Santiago J
A1 McCann-Molmenti, Alexia
A1 Guevara, Sara
A1 Vemuri, Anshul
A1 Krishnasastry, Kambhampathy
A1 Molmenti, Ernesto P
A2 Molmenti, Ernesto Pompeo
SR Print(0)
ID 1194189453
T1 Molmenti Tourniquet for Heavily Calcified Vessels
T2 Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781260474275
LK accesssurgery.mhmedical.com/content.aspx?aid=1194189453
RD 2024/04/19
AB In  instances  where  the  recipient  vessels  are  calcified  almost  circumferentially,  we  have  observed  that  placing  a  tourniquet  with  a  sponge  (or  another  soft  adaptable  object  such  as  gel  or  silicone)  at  the  site  with  no  calcifications  allows  for  a  less  traumatic  occlusion.As  shown  in  the  diagrams  and  operative  pictures,  the  sponge  (or  other  soft  object)  adapts  to  the  internal  contour  of  the  vessel.  Although  this  modified  tourniquet  may  not  always  be  completely  occlusive,  any  additional  clamps  that  may  be  placed  do  not  need  to  be  tightened  as  much,  decreasing  the  incidence  of  potential  complications  such  as  occlusion,  dissection,  and  distal  embolization.