Background: In nations such as India, the ratio of open surgery versus endoscopic resection varies substantially. Despite its reputation as the gold standard, due to a lack of knowledge and equipment, TURP remains out of reach for the vast majority of rural populations. One of the most dangerous side effects of open prostatectomy is persistent bleeding from the prostate bed. The goal of this study is to develop an approach for attaining complete hemostasis during open prostatectomy by applying traction to the Foley's catheter, compressing the venous plexus and avulsed prostate arteries at the bladder neck with the inflated balloon, and so reducing blood loss.
130 individuals with BPH were treated with Freyer's suprapubic trans-vesicle
prostatectomy. The bladder mucosa is adjusted beneath the balloon, which is
filled with 60 mL of normal saline, and traction is applied to the catheter,
which is then strapped to the patient's thigh for 24-48 hours.
The average blood loss in open prostatectomy patients was 20.9 ml, suggesting that Foley's balloon pressure traction method at the bladder neck is effective in achieving hemostasis.
Conclusions: The balloon pressure method is an effective way to achieve hemostasis and prevent blood transfusion in almost all of the patients treated.Author (S) Details
Swapnil Madankar
Department of Surgery, GMC YAVATMAL, Maharashtra, India.
Vijay Kanake
Department of Surgery, IGMC, Nagpur, Maharashtra, India.
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