Warm ischaemia time in a model for small bowel transplantation

Microsurgery ◽  
1996 ◽  
Vol 17 (8) ◽  
pp. 438-443 ◽  
Author(s):  
Henk P. Giele ◽  
Kathryn A. Heel ◽  
Ann Storrie ◽  
Rosalie D. McCauley ◽  
John C. Hall
Keyword(s):  
Small Bowel ◽  
Small Bowel Transplantation ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Warm Ischaemia Time

Reducing Warm Ischaemia Time During Laparoscopic Partial Nephrectomy: A Prospective Comparison of Two Renal Closure Techniques

2007 ◽  
Vol 52 (4) ◽  
pp. 1164-1169 ◽  
Author(s):  
Hervé Baumert ◽  
Andrew Ballaro ◽  
Nimish Shah ◽  
Dhouha Mansouri ◽  
Nauman Zafar ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Prospective Comparison ◽  
Warm Ischaemia Time

Replantation of digits: a review of predictive factors for survival

2016 ◽  
Vol 41 (7) ◽  
pp. 753-757 ◽  
Author(s):  
A. Breahna ◽  
A. Siddiqui ◽  
E. Fitzgerald O’Connor ◽  
F. C. Iwuagwu
Keyword(s):  
Predictive Factors ◽  
Case Series ◽  
Multivariate Statistical ◽  
Level Of Evidence ◽  
Patient Demographics ◽  
The United Kingdom ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Full Complement ◽  
Warm Ischaemia Time

The survival of 75 consecutive digital replantations carried out between 2006 and 2010 at a regional hand centre in the United Kingdom was determined. The patient demographics, mechanism of injury, co-morbid factors, operative and post-operative details were extracted and reviewed from the medical and hand therapy notes. Predictive factors of survival were determined by using univariate and multivariate statistical analysis. The survival rate was 70%. Arterial thrombosis was the leading cause of replant failure, followed by venous congestion. Smoking, level of amputation, number of nerves repaired, warm ischaemia time and timing of replantation were independent predictors of replant survival. However, only warm ischaemia time less than 6 hours and 30 minutes and replantations done within ‘office hours’ showed significance on multivariate logistic regression. Our study suggests that replantations done in daylight hours, when feasible, with rested staff and a full complement of the theatre team are likely to have better outcomes. Level of evidence: Level IV case series

scholarly journals Early vascular unclamping reduces warm ischaemia time in robot-assisted laparoscopic partial nephrectomy

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 108 ◽  
Author(s):  
Kevin Lah ◽  
Devang Desai ◽  
Charles Chabert ◽  
Christian Gericke ◽  
Troy Gianduzzo
Keyword(s):  
Renal Function ◽  
Partial Nephrectomy ◽  
Positive Margin ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
Renal Masses ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Patient Series ◽  
Warm Ischaemia Time

Introduction: The aim of this study was to assess the outcomes of early vascular release in robot-assisted laparoscopic partial nephrectomy (RAPN) to reduce warm ischaemia time (WIT) and minimise renal dysfunction. RAPN is increasingly utilised in the management of small renal masses. To this end it is imperative that WIT is kept to a minimum to maintain renal function.Methods: RAPN was performed via a four-arm robotic transperitoneal approach. The renal artery and vein were individually clamped with robotic vascular bulldog clamps to allow cold scissor excision of the tumour. The cut surface was then sutured with one or two running 3-0 V-LocTM sutures, following which the vascular clamps were released. Specific bleeding vessels were then selectively oversewn and the collecting system repaired. Renorrhaphy was then completed using a running horizontal mattress 0-0 V-LocTM suture.Results: A total of 16 patients underwent RAPN with a median WIT of 15 minutes (range: 8-25), operative time 230 minutes (range: 180-280) and blood loss of 100 mL (range: 50-1000). There were no transfusions, secondary haemorrhages or urine leaks. There was one focal positive margin in a central 5.5 cm pT3a renal cell carcinomas (RCC). Long-term estimated glomerular filtration rate (eGFR) was not significantly different to pre-operative values.Conclusion: In this patient series, early vascular release effectively minimised WIT and maintained renal function without compromising perioperative safety.

scholarly journals A retrospective study of open and endoscopic nephron sparing surgery in the treatment of complex renal tumors

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Ting-ting Li ◽  
Jia Feng ◽  
Yan-ling Li ◽  
Qian Sun
Keyword(s):  
Operation Time ◽  
Nephron Sparing Surgery ◽  
Renal Tumors ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Renal Tumours ◽  
Nephron Sparing ◽  
Function Recovery ◽  
And Control ◽  
Warm Ischaemia Time

Objective: To investigate clinical outcomes of open and retroperitoneal laparoscopic nephron-sparing surgery in the treatment of complex renal tumours. Methods: A retrospective case study was conducted. Patients with complex renal tumours admitted to our hospital between January 2018 and September 2019 were enrolled; the included patients (n=40) were divided into the observation group (open partial nephrectomy, n=20) and control group (laparoscopic partial nephrectomy, n=20) according to operation modes. The operation time, renal warm ischaemia time, intraoperative blood loss, renal pedicle blocking time, intestinal function recovery time, postoperative hospital stay, and postoperative complications were recorded. Results: Significant differences were noted regarding renal warm ischaemia time, renal pedicle blocking time, intraoperative blood loss, operation time, and postoperative hospital stay between the observation and control groups (P<0.05); however, no significant difference was observed in intestinal function recovery time and postoperative drainage days (P>0.05). Conclusion: Open surgery remains the recommended surgical method for the treatment of few complex tumours in the renal hilus region and has gradually become the renal surgery of choice at present, although laparoscopic surgery has evolved tremendously. doi: https://doi.org/10.12669/pjms.37.4.3457 How to cite this:Li TT, Feng J, Li YL, Sun Q. A retrospective study of open and endoscopic nephron sparing surgery in the treatment of complex renal tumors. Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.3457 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Maximum tolerable warm ischaemia time in transplantation from non-heart-beating-donors

2013 ◽  
Vol 3 (2) ◽  
pp. 72-76 ◽  
Author(s):  
Ornella Piazza ◽  
Rosalba Romano ◽  
Simona Cotena ◽  
Walter Santaniello ◽  
Edoardo De Robertis
Keyword(s):  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Heart Beating ◽  
Warm Ischaemia Time
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