Step 9 Obliteration of Diverticular Cavity

Cover the base of the diverticular cavity with any commercially available tissue sealant products such as Tisseelâ„¢c or CoSealâ„¢c or other form of fibrin glue (Fig. 8). Hoznek et al. utilized gelatin resorcinol formaldehyde glue on a piece of surgical mesh to provide adjunctive hemostasis and sealing as well as obliteration of the cavity (21).

The remainder of the cavity should be filled with a fat pedicle (Fig. 9), such as per-inephric fat or omentum (if transperitoneal), to eliminate any "dead space." This may be pexed to the renal capsule with 3-0 polyglactin as needed.

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