Renovascular reconstruction: Ex situ repair for the military surgeon

P. T. McDonald, J. E. Hutton, R. C. Lim, N. M. Rich

Research output: Contribution to journalArticlepeer-review


Renal surgery occasionally requires prolonged kidney ischemia for adequate small vessel or parenchymal repair. Ex situ repair with bloodless hypothermia offers adequate safe ischemic time for prolonged surgery. Successful reconstruction of renal arterial branches and venous tributaries in a patient with a renal arterial aneurysm was performed using an autogenous saphenous vein The kidney was preserved during four and one-half hours of ischemia by intermittent perfusion with heparinized, iced Ringer's lactate. This simple technique is especially suitable for the military surgeon's repertoire, since it may be employed in a wide range of operative environments.

Original languageEnglish
Pages (from-to)683-689
Number of pages7
JournalMilitary Medicine
Issue number10
StatePublished - 1978
Externally publishedYes


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