[A method for hemostasis in transvesical adenomectomy].
The hemostatic techniques proposed by the authors in transvesical adenomectomy implies U-form replaceable catgut ligatures placed with circular capture of the cervix vesicae and prostate capsule followed by their urethral stretching out. The technique is applicable in different adenoma sizes, prostate and cervix vesicae sclerosis. The procedure was used in 112 cases. Blood loss measured in 54 patients averaged 160 ml which is less than under other techniques of adenomectomy. Postoperative hemorrhage was observed in 1 patient (0.9%). Lethality was 1.8%. Long-term postoperative infectious complications occurred in 4.5%, organic ones (bladder cervical stricture) in 1.8% of the examinees. The technique is recommended for introduction into clinical practice as simple to perform, warranting reliable hemostasis and reduced intraoperative bleeding.
Kavka
N P
NP
Gorovoĭ
V I
VI
Kobzin
A L
AL
Tkachuk
O I
OI
Golovenko
V P
VP
D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical / Q000517:prevention & control; D002398:Catgut; D005500:Follow-Up Studies; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008026:Ligation / Q000295:instrumentation / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy / Q000295:instrumentation / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000150:complications / Q000601:surgery