[Hemostasis before retropubic prostatic adenomectomy using temporary clamping of the vesicogenital arteries]

Prog Urol. 1997 Feb;7(1):126-7.
[Article in French]

Abstract

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.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arteries
  • Blood Loss, Surgical / prevention & control
  • Constriction
  • Follow-Up Studies
  • Hemostasis, Surgical / instrumentation
  • Hemostasis, Surgical / methods*
  • Humans
  • Ligation
  • Male
  • Middle Aged
  • Postoperative Hemorrhage / prevention & control
  • Prostate / blood supply*
  • Prostatectomy*
  • Prostatic Hyperplasia / surgery*