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Hemostatic technique: extracapsular prostatic adenomectomy
1Department of Surgery, Verdi Cevallos Hospital, Portoviejo, Ecuador.
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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