Bapat R D, Relekar R G, Pandit S R, Dandekar N P
Department of General Surgery, K. E. M. Hospital, Parel, Bombay, Maharashtra.
J Postgrad Med. 1991 Jul;37(3):144-7.
Classical Freyer's method was modified in which, prostatic fossa was packed after the enucleation of the gland for hemostatic purpose; and the pack and suprapubic drain were brought out laterally. The pack was removed after 48-72 hours postoperatively and catheter was introduced per urethrum for early closure of suprapubic ostomy. Fifty such cases of Modified Freyer's prostatectomy were compared with cases of classical Freyer's prostatectomy (n = 25) and Millin's prostatectomy (n = 25). The duration of surgery and requirements for perioperative blood transfusion were found to be less with our method.
经典的弗雷尔方法进行了改良,即在腺体摘除后对前列腺窝进行填塞以达到止血目的;然后将填塞物和耻骨上引流管从侧面引出。术后48 - 72小时取出填塞物,经尿道插入导尿管以便早期关闭耻骨上造口。将50例改良弗雷尔前列腺切除术的病例与经典弗雷尔前列腺切除术(n = 25)和米林前列腺切除术(n = 25)的病例进行了比较。结果发现,我们的方法手术时间更短,围手术期输血需求更少。