Packing of Renal Fossa: Useful Technique for Intractable Bleeding after Open Pyelolithotomy Surgery
A 45 year old male patient who presented with multiple calculi mimicking a large stag horn calculus in left Kidney []. The pre operative IVP/ IVU showed Bilateral functioning kidneys []. The patient developed intractable bleeding when one of the two small stones was retrieved [], possibly due to injury to interlober/segmental vessels. The patient was managed by packing of renal fossa with three long roller gauze packs as bleeding continued after approximation of pyelotomy incision with three interrupted 3-0 vicryl sutures. All three packs were removed after 48 hrs in the post operative ward under sedation. The patient's recovery was uneventful.IVP/IVU done after six months showed good renal function [].