Witherington R
Am Surg. 1977 May;43(5):330-5.
A review of 226 transvesical prostatic adenomectomies performed by a modification of Hryntschak's technique over a 13-year span is presented. The technique incorporates closure of the vesical neck with transverse sutures of 2-0 plain catgut around a plastic Foley catheter and primary closure of the cystotomy following routine adenoma enucleation. Hemostatic suturing of the posterior vesical neck before placement of the transverse vesical neck sutures is routinely omitted. The results have been uniformly good with low incidence of mortality and morbidity. The average operative blood loss was 761 ml and postoperative bleeding was minimal. This technique is safe, simple and requires an acceptable operating time.
本文回顾了在13年期间采用改良的Hryntschak技术进行的226例经膀胱前列腺腺瘤切除术。该技术包括围绕一根塑料Foley导管用2-0普通肠线横向缝合关闭膀胱颈，并在常规摘除腺瘤后一期缝合膀胱切开术。在放置膀胱颈横向缝合线之前，通常省略膀胱颈后部的止血缝合。结果一直良好，死亡率和发病率较低。平均手术失血量为761毫升，术后出血极少。该技术安全、简单，且手术时间可接受。
