Kavka N P, Gorovoĭ V I, Kobzin A L, Tkachuk O I, Golovenko V P
Urol Nefrol (Mosk). 1993 Nov-Dec(6):33-6.
The hemostatic techniques proposed by the authors in transvesical adenomectomy implies U-form replaceable catgut ligatures placed with circular capture of the cervix vesicae and prostate capsule followed by their urethral stretching out. The technique is applicable in different adenoma sizes, prostate and cervix vesicae sclerosis. The procedure was used in 112 cases. Blood loss measured in 54 patients averaged 160 ml which is less than under other techniques of adenomectomy. Postoperative hemorrhage was observed in 1 patient (0.9%). Lethality was 1.8%. Long-term postoperative infectious complications occurred in 4.5%, organic ones (bladder cervical stricture) in 1.8% of the examinees. The technique is recommended for introduction into clinical practice as simple to perform, warranting reliable hemostasis and reduced intraoperative bleeding.
作者在经膀胱腺瘤切除术中提出的止血技术包括使用U形可置换肠线结扎，通过环形套扎膀胱颈和前列腺包膜，然后将其从尿道引出。该技术适用于不同大小的腺瘤、前列腺和膀胱颈硬化症。该手术应用于112例患者。54例患者的失血量平均为160毫升，低于其他腺瘤切除技术。1例患者（0.9%）出现术后出血。致死率为1.8%。4.5%的受检者出现长期术后感染并发症，1.8%出现器质性并发症（膀胱颈狭窄）。该技术操作简单，能保证可靠的止血并减少术中出血，建议引入临床实践。
