[Hemostasis before retropubic prostatic adenomectomy using temporary clamping of the vesicogenital arteries].
Prostatectomy can be performed via several approaches, but the main problem concerns haemostasis before, during and after prostatectomy. A first series of 187 cases of retropubic prostatectomy was performed, between 1980 and 1989, by bilateral ligation of the genitovesical arteries, associated with suture-ligation of the periprostatic veins prior to prostatic resection. In a second series of 50 cases (1990-1992), the same technique was applied, but with temporary clamping instead of ligation of the 2 genitovesical arteries. This method of haemostasis allowed us to operate in a relatively bloodless field (blood loss less than 150 mL in 80% of cases), prevented immediate or secondary postoperative haemorrhages and simplified the postoperative surveillance.
Ngo
G H
GH
Hôpital Binh Dan, Ho Chi Minh Ville, Vietnam.
Pham
V B
VB
Nguyen
N T
NT
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001158:Arteries; D016063:Blood Loss, Surgical / Q000517:prevention & control; D003250:Constriction; D005500:Follow-Up Studies; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000517:prevention & control; D011467:Prostate / Q000098:blood supply*; D011468:Prostatectomy; D011470:Prostatic Hyperplasia / Q000601:surgery*