Korth K
Urologische Abteilung, Lorettokrankenhaus, Freiburg.
Urologe A. 1989 Mar;28(2):77-9.
A new suprapubic device that regulates the intravesical pressure automatically during TUR is introduced. This flow controller ensures a constantly low intravesical pressure during TUR. The irrigation fluid constantly flows over into a small open glass jar adjusted to the trocar immediately above the abdominal wall. In this way the pressure is determined by the height of the jar above the bladder, which makes it independent of the irrigation flow. Having constant low pressure conditions between 14 and 18 cm H2O, the bladder wall does not collapse. Thus, the anatomical situation does not change throughout the entire operation, which leads to markedly better overall vision.
介绍了一种新型耻骨上装置,该装置在经尿道前列腺电切术(TUR)期间可自动调节膀胱内压力。这种流量控制器可确保TUR期间膀胱内压力持续保持在较低水平。冲洗液持续流入一个小的开口玻璃罐中,该玻璃罐与腹壁上方的套管针相适配。通过这种方式,压力由玻璃罐高于膀胱的高度决定,这使其与冲洗液流量无关。在14至18厘米水柱之间保持恒定的低压状态,膀胱壁不会塌陷。因此,在整个手术过程中解剖结构不会改变,从而带来明显更好的整体视野。