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PubMed · 11547075

Hemostatic technique: extracapsular prostatic adenomectomy.

J A Amen-Palma·R B Arteaga
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Abstract

PURPOSE: We describe extracapsular prostatectomy performed by applying lateral capsular transfixing sutures after adenoma enucleation and minimum operative hemorrhage. MATERIALS AND METHODS: A total of 117 patients with prostatic hypertrophy underwent surgery. After adenomectomy transfixing sutures were placed at the 3 and 9 o'clock positions clockwise around the prostatic capsule (hila). Five variables were used to quantify intraoperative and postoperative hemorrhage. RESULTS: Average intraoperative blood loss was 175 cc and average minimal decrease in hematocrit was 3.9%. Most patients had postoperative bleeding through the urethral and suprapubic catheters. CONCLUSIONS: Extracapsular prostatectomy with the application of lateral capsular transfixing sutures causes minimum operative hemorrhage.

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Blood Loss, SurgicalHemostatic TechniquesHumansMalePostoperative HemorrhageProstatectomyProstatic HyperplasiaSuture TechniquesJournal Article

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J A Amen-Palma, R B Arteaga. 2001. Hemostatic technique: extracapsular prostatic adenomectomy.. https://doi.org/10.1016/s0022-5347(05)65770-9

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