Blood Loss in Prostatectomy

Goodyear, William E.; Beard, Donald E.

doi:10.1016/s0022-5347(17)69012-8

Cited by 31 publications

(5 citation statements)

References 8 publications

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“…According to a study by Goodyear and Beard, using cellulose oxidase in trans-vesical prostatectomy was more effective than other techniques for hemostasis maintenance,[ 11 ] which was compatible with our results. However, the techniques used in the study by Goodyear et al .…”

Section: Discussionsupporting

confidence: 91%

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Evaluation of the efficacy of oxidized cellulose (surgicel) in reducing blood loss in suprapubic simple open prostatectomy: A randomized clinical trial

Fathi

Kazemi

Gholipour

et al. 2023

Journal of Research in Medical Sciences

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Background: Simple open prostatectomy is still the treatment of choice for removing large prostates; however, peri-surgical bleeding accompanied by this technique has always been a challenge for urologist surgeons. Therefore, the present study aimed to investigate the effect of surgicel on reducing bleeding in trans-vesical prostatectomy. Materials and Methods: The present double-blinded clinical trial included 54 patients with Benign Prostatic Hyperplasia (BPH), divided into two groups of 27, and underwent trans-vesical prostatectomy. After removing the prostate, the prostate adenoma was weighed in the first group. Then, two surgicel were inserted into the prostate loge for prostate adenomas weighing 75 g or less. For larger prostates, another surgicel was inserted for each 25 g weight higher than the limit of 75 g. However, no Surgicel was inserted in the control group. Other steps of the procedure were the same in both groups. Moreover, hemoglobin and hematocrit levels were assessed in both groups; preoperation, intra-operative, 24 h, and 48 h postoperative. In addition, all the fluid used for bladder irrigation was collected, and its hemoglobin level was assessed. Results: According to our results, no intergroup difference in hemoglobin level changes, hematocrit changes, International Prostate Symptom Score (IPSS), postoperative hospital stay, and number of packed cells received. However, the postoperative blood loss in bladder lavage fluid was significantly higher in the control group (120.83 ± 46.66 g) as compared to the surgicel group (72.56 ± 32.53 g) ( P < 0.001). Conclusion: The present study concluded that using surgicel in trans-vesical prostatectomy could reduce postoperative bleeding without increasing the chance of postoperative complications.

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Section: Discussionsupporting

confidence: 91%

“…Furthermore, they used a urethral catheter into the prostate loge in addition to cellulose oxidase. [ 11 ]…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the efficacy of oxidized cellulose (surgicel) in reducing blood loss in suprapubic simple open prostatectomy: A randomized clinical trial

Fathi

Kazemi

Gholipour

et al. 2023

Journal of Research in Medical Sciences

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“…This is an important mechanism to achieve hemostasis postoperatively. 13 In contrast to packing of prostatic fossa which interferes with its normal involuntary response, the Foley's balloon pressure traction technique not only allows the normal contraction of prostatic fossa but also aids it.…”

Section: Resultsmentioning

confidence: 99%

Modified technique in Freyer's prostatectomy to achieve hemostasis

Madankar¹,

Kanake²

2015

Int Surg J

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Background:The ratio of open surgery to endoscopic resection has large variations among different countries like India. Although TURP is considered as the gold standard, it is still out of reach for a vast majority of rural population due to the unavailability of expertise or equipment. One of the major complications of open prostatectomy is persistent bleeding from prostate bed. This study is an attempt to develop a technique by which complete hemostasis can be achieved by giving traction to the Foley's catheter thereby compressing the venous plexus and the avulsed prostate arteries at the bladder neck by the inflated balloon thereby reducing blood loss in open prostatectomy. Methods: A total of 130 cases of BPH were operated by Freyer's suprapubic trans-vesicle prostatectomy. Bladder mucosa is reposited below the balloon and the balloon inflated to 60ml of normal saline and traction is applied to the catheter and maintained by strapping the catheter to the thigh of the patient for 24-48 hours. Results: The average blood loss was 20.9 ml which proves that the Foley's balloon pressure traction method at the bladder neck is effective in achieving hemostasis in patients undergoing open prostatectomy. Conclusions: The balloon pressure technique is an effective method of achieving hemostasis and avoids blood transfusion in almost all of the patients treated.

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“…According to Goodyear and Beard, an average of 260 cubic centimeters of blood is to be expected from glands weighing 40 grams or less during removal by transurethral resection. Glands of larger size treated by open operation entail losses of two to three times that amount (15). Goldstein and Rubin likewise measured blood loss and found the smallest loss occurred with two-stage suprapubic prostatectomy, averaging approximately 200 cubic centimeters (16).…”

Section: Blood Loss and Replacementmentioning

confidence: 99%

Prostatic Obstruction in the Aged†

Hotchkiss

1955

J American Geriatrics Society

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Blood Loss in Prostatectomy

Cited by 31 publications

References 8 publications

Evaluation of the efficacy of oxidized cellulose (surgicel) in reducing blood loss in suprapubic simple open prostatectomy: A randomized clinical trial

Evaluation of the efficacy of oxidized cellulose (surgicel) in reducing blood loss in suprapubic simple open prostatectomy: A randomized clinical trial

Modified technique in Freyer's prostatectomy to achieve hemostasis

Prostatic Obstruction in the Aged†

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