Do you routinely use hemostatic agents in the renal defect after a partial nephrectomy?

Yes. I routinely employ Surgiflo/Floseal at the base of the defect. After the initial running sutures within the defect, I perform early unclamping and oversew any persistently bleeding arteries. Then I place the renorrhaphy sutures as part of the sliding clip technique, and use Surgiflo/Floseal at ...

I do routinely use a hemostatic agent. I run the inner layer and place Surigel Snow in the defect during the outer renorrhaphy. I have not used bolsters as the snow seems to confirm better on the defect.

I feel that this reduces the tension at which the defect closes. In very large shallow defects, ...

I usually do. Not everyone does, though. After I resect the tumor, I use an argon beam coagulator to cauterize the base of the resection. This helps with very small bleeders and helps in killing about 2 mm of tissue. This could be relevant if there were a microscopic positive margin.

I then run the ...