Impact of ligating gonadal or adrenal collateral veins with the left renal vein on renal function and histology in right-nephrectomized rats

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dc.authorid0000-0002-5878-7489
dc.authorid0000-0002-6036-8056
dc.authorscopusid6603744762
dc.authorscopusid57196765674
dc.authorscopusid8204207500
dc.authorscopusid57214619013
dc.authorscopusid8704795900
dc.authorscopusid19234891200
dc.authorscopusid23669098400
dc.authorwosidEkiz, Feza/ABD-8803-2020
dc.authorwosidGurdal, Sibel Ozkan/ABA-3882-2020
dc.contributor.authorYücel, Tayfun
dc.contributor.authorEkiz, Feza
dc.contributor.authorGürdal Özkan, Sibel
dc.contributor.authorYavuz, Hasan
dc.contributor.authorGönüllü, Doğan
dc.contributor.authorKöksoy, Ferda Nihat
dc.contributor.authorŞahan, Elife
dc.date.accessioned2022-05-11T14:34:51Z
dc.date.available2022-05-11T14:34:51Z
dc.date.issued2009
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractBackground: In cases of trauma to the left renal vein (LRV), its ligation near the inferior vena cava (IVC) is considered, but the consequences are not always good. We investigated the role of collateral venous drainage after ligation of the LRV by studying the renal function and histology after ligation of the LRV near the IVC alone or with ligation of the gonadal or adrenal collaterals, in right-nephrectomized (RN) rats. Material and methods: Ligation of the LRV near the IVC alone (group 1) or with ligation of the adrenal (group 2) or gonadal (group 3) collaterals was studied in RN Wistar rats (n = 18 per group). The renal histopathology (ischemic cortical necrosis) and functional status (urea, creatinine, sodium, and potassium) were compared. Results: In RN rats, the results were better when ligating the LRV near the IVC alone or with the adrenal collaterals [mortality 4/18 (22.2%) and 3/18 (16.7%), respectively] than when ligating the LRV near the IVC plus the gonadal collaterals [mortality 15/18 (83.3%)] (p < 0.0001). All early deaths occurred within three days and resulted from serious histopathological (ischemic cortical necrosis) and functional (increased urea, creatinine, and potassium; decreased sodium) renal damage. Conclusion: In right-nephrectomized rats, the LRV near the IVC and the adrenal collateral can be ligated, while the gonadal collateral should be preserved. Published by Elsevier Ltd on behalf of Surgical Associates Ltd.
dc.identifier.doi10.1016/j.ijsu.2009.05.006
dc.identifier.endpage355
dc.identifier.issn1743-9191
dc.identifier.issn1743-9159
dc.identifier.issue4en_US
dc.identifier.pmid19481185
dc.identifier.scopus2-s2.0-68949158476
dc.identifier.scopusqualityQ1
dc.identifier.startpage350
dc.identifier.urihttps://doi.org/10.1016/j.ijsu.2009.05.006
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8120
dc.identifier.volume7
dc.identifier.wosWOS:000208237000014
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGürdal Özkan, Sibel
dc.language.isoen
dc.publisherElsevier Science Bv
dc.relation.ispartofInternational Journal of Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectRight nephrectomy
dc.subjectLeft renal vein
dc.subjectGonadal vein
dc.subjectAdrenal vein
dc.subjectLigation
dc.subjectUrea
dc.subjectCreatinine
dc.subjectSodium
dc.subjectPotassium
dc.subjectIschemic cortical necrosis
dc.titleImpact of ligating gonadal or adrenal collateral veins with the left renal vein on renal function and histology in right-nephrectomized rats
dc.typeArticle

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