Ligation of the left renal vein in epm1-wistar rats

functional and morphologic alterations in the kidneys, testes and suprarenal glands

Authors

  • José Carlos Costa Baptista-Silva Universidade Federal de São Paulo
  • Miriam Sterman Dolnikoff Universidade Federal de São Paulo
  • Luiz Antonio Ribeiro Moura Universidade Federal de São Paulo
  • José Osmar Medina Pestana Universidade Federal de São Paulo
  • Jose Gilberto Henriques Vieira Universidade Federal de São Paulo
  • Fausto Miranda Jr Universidade Federal de São Paulo
  • Nestor Schor Universidade Federal de São Paulo
  • Clovis de Araujo Peres Universidade Federal de São Paulo
  • Emil Burihan Universidade Federal de São Paulo

Keywords:

Renal Veins, Ligation, Kidneys, Testes, Suprarenal glands

Abstract

OBJECTIVE: The ligation of the left renal vein (LLVR) in man is a contraversial procedure in view of the risks of lesion to the renal parenchyma. With the objective of studying the morphologic and functional alterations caused by these lesions, we conducted experimental research with rats. MATERIAL AND METHODS: 64 male adult EPM1-WISTAR rats were used, divided into 8 groups - 4 for LLRV and four for control. Each LLRV group and corresponding control group were sacrificed progressively on the 7th, 15th, 30th and 60th day after the initial surgery. RESULTS: We found morphofunctional alterations only in animals that underwent LLRV in the four periods of sacrifice.The proteinuria creatinine in serum, testosterone in serum and serum corticosterone in serum showed practically no alteration in relation to the normal values for rats. Statistically significant severe histological lesions were found in the kidneys and testes of the LLRV groups. Lesions in the suprarenal glands were also present in these groups, but no sufficient to demonstrate statistical significance CONCLUSION: Based on these results we can conclude that the ligation of the left renal vein is a procedure of high risk in these animals.

Downloads

Download data is not yet available.

Author Biographies

José Carlos Costa Baptista-Silva, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina , São Paulo, São Paulo, Brazil.

Miriam Sterman Dolnikoff, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina , São Paulo, São Paulo, Brazil.

Luiz Antonio Ribeiro Moura, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina , São Paulo, São Paulo, Brazil.

José Osmar Medina Pestana, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina , São Paulo, São Paulo, Brazil.

Jose Gilberto Henriques Vieira, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina , São Paulo, São Paulo, Brazil.

Fausto Miranda Jr, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina , São Paulo, São Paulo, Brazil.

Nestor Schor, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina , São Paulo, São Paulo, Brazil.

Clovis de Araujo Peres, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina , São Paulo, São Paulo, Brazil.

Emil Burihan, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina , São Paulo, São Paulo, Brazil.

References

Baptista-Silva JCC. Ligadura da veia renal esquerda em ratos EPM1-WISTAR: complicações renais, testiculares e das glândulas supra-renais. (PhD Thesis). São Paulo (SP), Escola Paulista de Medicina / UNIVERSIDADE FEDERAL DE SÃO PAULO, 1994.

Aburahma A F, Robinson PA, Boland JP, Lucente FC. The risk of ligation on the left renal vein in resection of the abdominal aortic aneurysm. Surg Gynecol Obstet 1991;173:33-6.

Adar R, Rabbi I, Bass A . Left renal vein division in abdominal aortic aneurysm operations. Arch Surg 1985;120:1033-6.

Anderson C, Sjoli SU, Holstein P. Ligation of the renal vein during resection of abdominal aortic aneurysm. J Cardiovasc Surg 1986;27:454-6.

Anson BJ, Cauldwell EW, Pick JW, Beaton LE. The anatomy of the pararenal system of veins, with comments on the renal arteries. J Urol 1948;60:714-37.

Anson BJ, Cauldwell EW, Pick JW, Beaton LE. The blood supply of the kidney, suprarenal gland, and associated structures. Surg Gynecol Obstet 1947;84:313-20.

Ariyoshi A, Nagase K. Renal hematuria caused by nutcracker phenomenon: a more logical surgical management. Urology 1990;35(2):168-70.

Barnes RW, Fleisher HL, Redman IF, et al. The nutcracker syndrome (mesoaortic compression on the left renal vein): Repair by a new stenting procedure. J Vasc Surg 1988;8:415-21.

Carroll PR, Mcaninch JR, Klosterman P, Greenblatt M. Renovascular trauma: risk assessment, surgical management, and outcome. J Trauma 1990;30(5):547-54.

Clark CD, Leeds MB. Survival after excision of a kidney, segmental resection of the vena cava, and division of the opposite renal vein. Lancet 1961;2:1015-6.

Dearing PD, James EC, Swenson WM, Slotnick H B, Schmidt, MJ. Further experience with division of the left renal vein. Surgery 1990;107(1):105-9.

Erlik D, Barzilai A, Shramek A. Renal function after left renal vein ligation. J Urol 1965;93:540-4.

Gardner E. Vasos sangüíneos do abdome. In: Gardner E, Gray DJ, O'Rahilly R, eds. Anatomia. 2.ed. Rio de Janeiro:Guanabara Koogan, 1967:476-84.

Johnston KW, Scobie TK. Multicenter prospective study of nonruptered abdominal aortic aneurysms. I. Population and operative management. J Vasc Surg 1988;7:69-81.

Johnston KW. Basis for technically difficult decisions in abdominal aortic aneurysm repair. In: Veith FJ, ed. Current critical problems in vascular surgery. Saint Louis:Quality, 1989:281-3.

Lasher EP. Porto-renal shunt. Am Surg 1965;31:433-6.

Mccombs PR, Delaurentis DA. Division of the left renal vein. Guidelines and consequences. Am J Surg 1979;138:257-63.

Nahas WC, Arap S. Urgências urológicas traumáticas. In: Birolini D, Utiyama E, Steinman E, eds. Cirurgia de emergência. São Paulo:Atheneu,1993:208-15.

Pick JW, Anson BJ. The renal vascular pedicle. J Urol 1940;44:411-34.

Rosaenz JF, Esteban FA, Sevillano CG, et al. Diagnóstico de la trombosis de vena renal y cava inferior: A propósito de un nuevo caso. Arch Esp Urol 1993;46(3):237-40.

Royster TS, Lacey L, Marks RA. Abdominal aortic surgery and the left renal vein. Am J Surg 1974;127:55-4.

Rutherford RB. Infrarenal aortic aneurysms. In: Rutherford RB, ed. Vascular surgery. Philadelphia:Saunders,1977.639-54.

Sampaio FJ, Aragão AH. Anatomical relationship between the renal venous arrangement and the kidney collecting system. J Urol 1990;144(5):1093-93.

Simeone FA, Hopkins RW. Portarenal shunt for hepatic cirrhosis and portal hypertension. Surgery 1967;61:153-68.

Simon JS, Brown AA, Ross HB. Ligation of the left renal vein in splenorenal anastomosis without impairment of renal function. Br J Surg 1972;59:170-3.

Warren WD, Salam AA, Faraldo A, Hutson D, Smith, RB. End renal vein-to-splenic vein shunts for total or selective portal decompression. Surgery 1972;72(6):995-1006.

Zarins CK, Gewertz BL. Aortic aneurysm. In: Zarins CK, Gewertz BL, eds. Atlas of vascular surgery. New York:Churchill Livingstone, 1989:42-53.

Baptista-Silva JCC, Figueiredo LFP, Cal RGR, Castro MJ, Verissimo MJ, Câmara AL. Importância da angiografia na seleção do doador-vivo renal. J Bras Urol 1995;21(4):244.

Baptista-Silva JCC, Figueiredo LFP, Cal RGR, Castro MJ, Verissimo MJ, Câmara AL. Nefrectomia em doador-vivo por anterior extraperitoneal. J Bras Urol 1995;21(4):245.

Baptista-Silva JCC, Medina JOP, Burihan, E. Anatomical study of the renal veins and its variations observed during living donor nephrectomy. Phlebology 1995;2(suppl 1): 1085-7.

Dube VE, Carlquist JH. Surgical treatment of leiomyosarcoma of the inferior vena cava. Am Surg 1971;37:87-90.

Kretz JG, Matysiak M, Matter D . Sarcome léiomyoblastique de la veine cave inférieure. Ann Chir 1984;38:309-11.

Burihan E, Ikeda S, Baptista-Silva JCC, Francisco Jr J, Feitas V. Pelvic varices: evaluation by duplex ultrasonography - pelvic phlebography and surgery: case report. Phlebology 1995;2(suppl 1):1033-5.

Crawford ES, Debakey ME. Wide excision including involved aorta and vena cava and replacement with aortic homograft for retroperitoneal malignant tumors. Cancer 1956;9:1085-91.

Delaurentis DA; Savarese RP, Ritchie WGM, Kaplan SM. Venous anomalies encountered in aortic surgery: their preoperative detection by CAT scan and intraoperative management. In: Veith FJ, ed. Current critical problems in vascular surgery. Saint Louis:Quality, 1989:284-90.

Edwards RD, Robertson IR, Maclean AB, Hemingway AP. Case report: pelvic pain syndrome - successful treatment of a case by ovarian vein embolization. Clin Radiol 1993;47:429-31.

Gardner E. Rins, ureteres, glândulas supra-renais. In: Gardner E, Gray DJ, O'Rahilly R, eds. Anatomia. 2.ed. Rio de Janeiro:Guanabara Koogan, 1967:466-75.

Giordano JM, Trout III HH. Anomalies of the inferior vena cava. J Vas Surg 1986;3:924-8.

Hallett JW. Minimizing the use of homologous blood products during repair of abdominal aortic aneurysms. Surg Clin North Am 1989;69(4):817-27.

Hayashi M, Kume T, Nihita H. Abnormalities of renal venous system and unexplained renal haematuria. J Urol 1980;124:12-5.

Hoeltl W, Hruby W, Aharinejad S. Renal vein anatomy and its implications for retroperitoneal surgery. J Urol 1990;143:1108-14.

Latorre J. Anatomia y fisiologia. In: Villallonga JT, ed. Sector iliocava. Barcelona:Uriach, 1993:37-66.

Latorre J. Embriologia. In: Villallonga JT, ed. Sector iliocava. Barcelona: Uriach, 1993:17-23.

Linsell JC, Rowe PH, Owen W.J. Rupture of an aortic aneurysm into the renal vein presenting as a left-sided varicocele. Acta Chir Scand 1987;153:477-8.

Martinez-Almagro A, Garcia VA, Sanjuan VM, Tejada THG, Montalvo PL. Retroaortic left renal vein: a report of six cases. Surg Radiol Mat 1992;14:361-6.

Positano N, Nadalino VF, Bruttini GP. Haematuria due to circumaortic left renal vein. Urology 1980;16:73-6.

Sporer A, Pollock R. Renal varix. Am J Roentgenol 1982;138:149-50.

Taylor WN, Schillinger JF, Gaum L. Renal vein compression. J Urol 1977;118:1061-6.

Testut L, Jacob O. Organos retroperitoneales. In: Testut L, Jacob O, eds. Tratado de anatomia topográfica. 8th ed. Barcelona:Salvat, 1977:280-328.

Thompson PN, DarlingIII RC, Chang BB, Shah DM, Leather RP. A case of nutcracker syndrome:, treatment by mesoaortic transposition. J Vasc Surg 1992;16(4):663-5.

Veith FJ, Gupta SK, Daly V. Technique for occluding the supraceliac aorta through the abdomen. Surg Gynecol Obstet 1980;151:427-8.

Yang SC, Suh DH, Kim YS, Park K. Anatomical study of the left renal vein and its draining veins, as encountered during living donor nephrectomy. Transp Proc 1992;24(4):1333-4.

Budden J, Hollier LH. Management of aneurysms that involve the juxtarenal or suprarenal aorta. Surg Clin North Am 1989;69(4):837-45.

Calligaro KD, Saverese RP, Mccombs PR, Delaurentis DA. Division of the left renal vein during aortic surgery. Am J Surg 1990;160:192-6.

Chait A, Matasar RW, Fabian CE, Mellins HZ. Vascular impressions on the ureters. Am J Roetgenol Radium Ther 1971;111:729-49.

Cooley DA, Debakey ME. Resection of the thoracic aorta with replacement by homograph for aneurysms and constrictive lesions. J Thorac Surg 1955;19:66-104.

Delaurentis DA, Iyengar SRK. Renal function and a technique for venography after left renal vein ligation. Am J Surg 1970;120:41-5.

Devine TJ, Scott DF, Myers KA, King RB. Massive haemorrhage caused by left renal vein ligation. Br J Surg 1980;67:594-5.

Erlik D, Barzilai A, Shramek A. Porto-renal shunt: a new technique for portosystemic anastomosis in portal hypertension. Ann Surg 1964;159:72-8.

Fujita K, Munakata A. Left renal haematuria by compression of an unusual vein. Internat Urol Nephrol 1991;23(4):303-6.

González-Avila G, Vadillo-Ortega F, Perez-Tamayo R. Experimental diffuse interstitial renal fibrosis. A biochemical approach. Lab Invest 1988;59(2):245-52.

Lord RSA. Trial clamping before division of the left renal vein. Surgery 1982;91:409-12.

Neal HS, Shearburn EW. Division of the left renal vein as an adjunct to resection of abdominal aortic aneurysms. Am J Surg 1967;113:763-5.

Orazi C, Farielo G, Malena S, Schingo P, Ferro F, Bagolan P. Renal vein thrombosis and adrenal hemorrhage in the newborn: ultrasound evaluation of 4 cases. J Clin Ultrasound 1993;21(3);163-9.

Pastershank SP. Left renal vein obstruction by a superior mesenteric artery. J Can Assoc Radiol 1974;25:52-4.

Rastad J, Almgren B, Bowald S, Eriksson I, Lundquist B. Renal complications to left renal vein ligation in abdominal aortic surgery. J Cardiovasc Surg 1984;25:432-6.

Shintaku N, Takahashi Y, Akaishi K, Sano A, Kuroda Y. Entrapment of left renal vein in children with orthostatic proteinuria. Pediatr Nephrol (Germany) 1991;4(4):324-7.

Stenstrom JD, Ford HS, Mackay MI, Hosie RT, Donald JC. Ruptured abdominal aortic aneurysms. Am Surg 1976;42:538-40.

Stoney RJ, Matsumoto K. Transabdominal exposures of the upper abdominal aorta: techniques and strategies. In: Veith FJ, ed. Current critical problems in vascular surgery. Saint Louis:Quality Medical Publishing, 1989:275-80.

Swanson RJ, Carlson RE, Olcott C, Stoney RJ. Rupture of the kidney following a renosplenic shunt. Surgery 1976;79(6):710-12.

Cooley DA, Wukasch DC. Aneurysms of the abdominal aorta . In: Cooley DA, Wukasch DC, eds. Techniques in vascular surgery. Philadelphia: Saunders, 1979:54-69.

Cooley DA. Thoracoabdominal aortic aneurysms. Cardiac Surg 1987;1(3):393-402.

Ristow Av, Abreu RC, Bonamigo TP, Burihan E, Cinelli Jr M. Complicações precoces e tardias das restaurações arteriais aorto-ilíacas. In: Bonamigo TP, Burihan E, Cinelli Jr M, Von Ristow A. Doenças da aorta e seus ramos. São Paulo:Fundo Editorial Byk, 1993;362-82.

Szilagyi DE, Smith RF, Elliot JP. Temporary transection of the left renal vein: A technical aid in aortic surgery. Surgery 1969;65(1):32-40.

Harris JD, Ehrenfeld WK, Lee JC, Wylie EJ. Experimental renal vein occlusion. Surg Gynecol Obstet 1968;126:555-62.

Hobson RW, Howard EW, Wright CB. Hemodynamics of femoral vein ligation in canine hind limb. In: Swang KG, ed. Venous surgery in the lower extremity. Saint Louis:Warren H. Green, 1975:215-21.

Bennett WG, Wood BP. Radiological case of the month (left renal vein thrombosis and left adrenal hemorrhage). Am J Disease Children 1991; 145:1299-1300.

Brill PW, Jagannath A, Winchester P, Markisz JA, Zirinsky K. Adrenal hemorrhage and renal vein thrombosis in the newborn: MR image. Radiology 1989;170:95-8.

Comhaire F, Monteyene R, Kunnen M. The value of scrotal thermography as compared with selective retrograde venography of the internal spermatic vein for the diagnosis of "subclinical" varicocele. Fertil Steril 1976;27:694-8.

Irace L, Gossetti B, Benedetti-Valentini F. Aneurysm of the left vein: a case report. J Vasc Surg 1994;19(5):943-4.

James EC, Fedde CW, Khuri NT, Gillespie JT. Division of the left renal vein: A safe surgical adjunct. Surgery 1978;83:151-4.

Javert CT, Clark RL. Combined operation for varicocele and inguinal hernia; preliminary report. Surg Gynecol Obstet 1944;79:644-6.

Macleod J. Seminal cytology in the presence of varicocele. Fertil Steril 1985,16:735-8.

Orth DN, KOVACS WJ, Debold CR. The Adrenal. In: Wilson JD, Foster, DW, eds. Textbook of endocrinology. 8 ed. Philadelphia:Saunders 1992: 489-619.

Sigwart U, Puel J, Mirkovitch V, Joffre F, Kappenberger L. Intravascular stents to prevent occlusion and restenosis after transluminar angioplasty. N Engi J Med 1987;316:701-6.

Sofikitis N, Miyagawa I. Left adrenalectomy in varicocelized rats does not inhibit the development of varicocele-related physiologic alterations. Int J Fertil 1993;38(4):250-5.

Spira R, Kwan E, Gerzof SG, Widrich WC. Left renal vein varix simulating a pancreatic pseudocyst by sonography. J Urol 1947;48:424-7.

Wylie EJ. Discussion. In: Najarian JS, Delaney JP, eds. Vascular surgery. Chicago:Year Book, 1978:405-14.

Wylie EJ. Renal artery revascularization for renovascularization: indications and techniques. In: Najarian JS, Delaney JP, eds. Vascular surgery. Chicago:Year Book, 1978:385-93.

Crawford ES, Crawford JL. Aneurysms of Degenerative Origin. In: Crawford ES, Crawford JL,eds. Diseases of the aorta. Baltimore:Williams & Wilkins, 1984;1-166.

Dean RH, Hansen K.J. Renal revascularization: how to make a difficult operation easier. In: Veith FJ, ed. Current critical problems in vascular surgery. Saint Louis:Quality, 1989:306-8.

Debakey ME, Cooley DA, Creech OJ. Surgical treatment of aneurysms and occlusive disease of the aorta. Postgrad Med 1954;15:120-7.

Debakey ME, Crawford ES, Garret HE, Beal A, Howell JL. Surgical considerations in the treatment of aneurysms of the thoraco-abdominal aorta. Ann Surg 1965;162:650-62.

Dubost C, Allary M, Oeconomos N. Resection of an aneurysm of the abdominal aorta: re-establishment of the continuity by a preserved human arterial graft, with results after five months. Arch Surg 1952;64:405-8.

Haimovici H. Abdominal aortic aneurysm. In: Haimovici H, ed. Vascular surgery. 2 ed. East Norwalk:Appleton-Century-Crofts, 1984:685-738.

Hermreck AS. Prevention and management of surgical complications during repair of abdominal aortic aneurysms. Surg Clin North Am 1989;69(4):869-94.

Hewitt RL. Vascular injuries. In: Haimovici H, ed. Vascular surgery. 2 ed. East Norwalk:Appleton-Century-Crofts, 1984:389-412.

Mattox KL. Trauma to the aorta. Cardiac Surg 1987;1(3):403-17.

Najarian JS. Discussion. In: Najarian JS, Delaney JP. Vascular surgery. Chicago:Year Book, 1978:405-14.

Nypaver TJ, Sherpard AD, Reddy DJ, Elliott JP, Ernst CB. Supraceliac aortic cross-clamping: determinants of outcome in elective abdominal aortic reconstruction. J Vasc Surg 1993;17(5):868-76.

O'Hara PJ, Hakaim AG, Hertzer NR, Krajewski LP, Cox GS, Beven E. Surgical management of aortic aneurysm and coexistent horseshoe kidney: review of a 31-year experience. J Vasc Surg 1993;17(5):940-7.

Reilly LM, Ramos TK, Murray SP, Cheng SWK, Stoney RJ. Optimal exposure of the proximal abdominal aorta: a critical appraisal of transabdominal medial visceral rotation. J Vasc Surg 1994;19(3):375-90.

Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Thoracoabdominal aortic aneurysms associated with celiac, superior mesenteric, and renal occlusive disease: methods and analysis of results in 271 patients. J Vasc Surg 1992;16(3):378-90.

Ashkenazi J, Dicker D, Feldberg D, Shelef M, Goldman G A, Goldman J. The impact of spermatic vein ligation on the male factor in vitro fertilization-embryo transfer and its relation to testosterone levels before and after operation: Fertil Steril 1989;51(4):471-4.

Greene EC. Circulatory system. In: Greene EC, ed. Anatomy of the rat. New York:Hafner, 1963:177-336.

Green KF, Turner TT, Howards SS. Varicocele: reversal of the testicular blood flow and temperature effects by varicocele repair. J Urol 1984;131:1208-12.

Hirokawa M, Iwamoto T, Iwasaki A, et al. Clinical observations on fertile males with varicocele. Eur Urol 1989;16(1):23-7.

Kass EJ, Freitas JE, Bour JB. Adolescent varicocele: objective indications for treatment. J Urol 1989;142(2 Pt 2):579-82.

Kihlstrum JM, Clements GR. Spontaneous pathologic findings in Long-Evans rats. Lab Mini Care 1969;19(5):710-5.

Krakower CA, Greenspon SA. Localization of nephrotoxic antigen within isolated renal glomerulus. A M A Arch Pathol 1951;51:629-39.

Mali WPTM, Oei HY, Arndt JW. Hemodynamics of the varicocele. Part I. Correlation among the clinical, phebographic and scintigraphic findings. J Urol 1988;135:483-8.

Mali WPTM, Oei HY, Arndt JW . Hemodynamics of the varicocele. Part II. Correlation among the results of renocaval pressure measurements, varicocele scintigraphy and phebography. J Urol 1986;135:489-93.

Mazo EB, Koryakin MV, Kudryavtsev JUV, Evseev LP, Akopyan AS. The role of impairment of adrenal mineraloglucocorticoid function in development on infertility in varicocele patients. Int Urol Nephrol 1989;21(4):403-16.

Perassi R, Martin A. Urinary proteins of the normal rat. Int J Peptide Protein Res 1973;5:1-6.

Saypol DC, Howards SS, Turner TT. Influence of surgical induced varicocele on testicular blood flow, temperature, and histology adult rats and dogs. J Clin Invest 1981;68:39-45.

Shafik A, Moftah A, Olfat S, Mohi-El-Din M, El-Sayed A. Testicular veins: anatomy and role in varicocelogenesis and other pathologic conditions. Urology 1990;35(2):175-84.

Shafik A, Wali MA, Abdel AYE, et al. Experimental model of varicocele. Eur Urol 1989;16(4):298-303.

Ferting MFW. International index of laboratory animals. 2nd.ed. Carshalton: Lion Litho Ltd, 1993:238p.

Peres CA, Saldiva CD. Planejamento de experimentos. In: Simpósio Nacional de Probabilidade e Estatística. São Paulo. Anais. São Paulo, 1982, p.54.

Sokal RR, Rohlf FJ. BIOMETRY. San Francisco:W.H. Freeman, 1969:776p.

Colton T. Inference on proportions. In: Colton T, ed. Statistics in medicine. Boston: Little & Brown, 1974:164p.

Carl P, Stark L, Ouzoun N, Reindl P. Venous pressure in idiopathic varicocele. Eur Urol 1993;24(2):214-20.

Gonzalez E, Leiter E, Jemerin EE, Brendler H. Renal survival after renal vein ligation. JAMA 1967;200:259-61.

Fisher ER, Sharkey D, Pardo V, Vuzevski V. Experimental renal vein constriction. Lab Invest 1968;18(6):689-99.

Omae T, Masson MC, Corcoran AC. Experimental production of nephrotic syndrome following renal vein constriction in rats. Proc Soc Exper Biol Med 1958;97:821-5.

Sandrolini JA, Torres C, Pollak VE. Histologic and functional changes. following partial occlusion of the renal vein in the dog: A preliminary study. Invest Urol 1965;3:83-91.

Siderys H, Kilman JW. The effects of acute. occlusion of the renal vein in dogs. Surgery 1966;59:282-5.

Verstraete M, Vermylen J. Trombose venosa em órgãos particulares. In: Verstraete M, Vermylen J, eds. Trombose. São Paulo:Savier,1989:292-303.

Wegria R, Capeci NE, Blumenthal MR, et al. Pathogenesis of proteinuria in the acutely congested kidney: J Clin Invest 1955;34:737-45.

Stanley JC. Renal revascularization: Errors in patient selection and complications of operation. In: Bernhard VM, Towne JB, eds. Complications in vascular surgery. Saint Louis:Quality Medical Publishing, 1991:180-203.

Talati JJ, Islahuddin M. The clinical varicocele in infertility. Br J Urol 1988;61(4):354-8.

Hurt GS, Howards SS, Turner TT. Repair of experimental varicoceles in the rat: long-term effects on testicular blood flow and temperature and caudal epididymal sperm concentration on motility. J Androl 1986;7:271-6.

Laven JSE, Wensing CJG. Induction of varicocele in the dog: I. partial ligation of the left renal vein does not induce a varicocele in the dog. J Androl 1989;10:9-16.

Laven JSE, Wensing CJG, Meijer JC, Wolvekamp WTC, Teerds KJ. Total ligation of the left renal vein in dog: an inappropriate model for varicocele. Int J Androl 1991;14:348-58.

Shook TE, Nyberg LM, Collins BS, Mathur S. Pathological and immunological effects of surgically induced varicocele in juvenile and adult rats. Am J Reprod Immunol Microbiol 1988;17(4).141-4.

Wang R, Chang JS, Zhou X.M, Chen DY. Varicocele in the rat: a new experimental model. Urol Res 1991;19:319-22.

Witt MA, Lipshultz LI. Varicocele: a prospective or static lesion? Urology, 1993;42(5):541-3.

Hudson RW. The endocrinology of varicocele. Fertil Steril 1988;49(2):199-208.

Hsu HS, Chang LS, Chen MT, Wei YH. Decreased blood flow and defective energy metabolism in the varicocele-bearing testicles of rats. Eur Urol 1994;25(1):71-5.

Downloads

Published

1997-07-07

How to Cite

1.
Baptista-Silva JCC, Dolnikoff MS, Moura LAR, Pestana JOM, Vieira JGH, Miranda Jr F, Schor N, Peres C de A, Burihan E. Ligation of the left renal vein in epm1-wistar rats: functional and morphologic alterations in the kidneys, testes and suprarenal glands. Sao Paulo Med J [Internet]. 1997 Jul. 7 [cited 2025 May 31];115(4):1475-84. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2134

Issue

Section

Original Article