前立腺摘除術における止血法の検討 : vesical neck closure法について

概要

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In prostatectomy, the most important problem is how to decrease bloodloss during and after operation. "Vesical neck closure" is the method which Lower devised for suprapublic prostatectomy first in 1927. We performed suprapublic prostatectomy with this method in 84 cases since 1967. In other words, we studied "vesical neck closure". The bloodloss was measured by gravimetry. 1. The bloodloss: The bloodloss was 1230 c.c. at max., 35 c.c. at min. and 378 c.c. on the average. 2. The relation between bloodloss and anesthesia: The patients operated under S.C. were 55 cases and their average bloodloss was 414 c.c. The patients operated under Ep. were 28 cases and their average bloodloss was 284 c.c. 3. The period when macroscopic hematuria was observed: In the cases operated by the above mathod, macroscopic hematuria continued for 8.1 days. 4. The postoperative vesical neck stricture: The postoperative vesical neck stricture was observed in 2 cases out of 84 and both of them were cured by electroresection method by means of sectio alta.
社団法人日本泌尿器科学会の論文
1972-12-20