For my ad in the Serbin Medical Illustration Sourcebook this year, I illustrated part of a living-donor Kidney transplant surgery. My goal was to maintain realistic surgical colors and vantage point, but still be able to show in a single scene all the major vessels that would need to be located and divided.


Reference from surgical videos:

Final sketch, first stage of digital painting, and final page design:

VC - Vena Cava
A - Aorta
RV - Renal Vein
RA - Renal Artery
AV - Adrenal Vein (or Suprarenal Vein)
AA - Adrenal Artery (or Suprarenal Artery)
L - Lumbar Vein
G - Gonadal Vein (Testicular/Spermatic or Ovarian Vein)
U - Ureter

The instrument pictured is a LigaSure device, which uses electro cautery to cut and seal vessels. The kidney and adrenal gland are in the center, and the organ visible in the upper left of the image is the spleen. The psoas muscle is also visible beneath the vessels at the bottom of the page.