Simon V, Votocek E
I. Department of Surgery, 1st Medical Faculty Charles University, Prague, Czech Republic.
Sb Lek. 1995;96(1):23-6.
The method of preventive hemostasis as suggested by authors is capable of safely arresting the blood leakage into the operation field from spatium Retzii especially in radical retropubic surgery. Retropubic radical surgery requires haemostasis of the dorsal penile veins. In extracapsular prostatectomy, adequate haemostasis permits a safe well controllable urethroyesical anastomosis, diminishing blood loss, shortening the operation time and reducing the risk of postoperative stricture and incontinence development. In cystoprostatectomy, preventive haemostasis reduces the blood loss due to protracted haemorrhage taking place during the neovesica construction and shortens the operation period. In looking for a method of effective preventive ligature of the venae dorsales penis we made use of the technique as described by Berger and Ireton (1). In our opinion, that method is rather complicated requiring and presents requirements for a special instrumentarium and therefore, we regard it as impracticable. Based on the principles of the above technique we elaborated a method of preventive haemostasis using a wire loop to compress both these superficial and the subfascial dorsal penile veins (2), which appears easy to perform with the ordinary equipment of any surgical and urological department.
作者所建议的预防性止血方法能够安全地阻止血液从Retzii间隙漏入手术野，特别是在耻骨后根治性手术中。耻骨后根治性手术需要对阴茎背静脉进行止血。在包膜外前列腺切除术中，充分止血可实现安全且可控性良好的尿道膀胱吻合，减少失血量，缩短手术时间，并降低术后狭窄和尿失禁发生的风险。在膀胱前列腺切除术中，预防性止血可减少新膀胱构建过程中因持续性出血导致的失血量，并缩短手术时间。在寻找一种有效预防性结扎阴茎背静脉的方法时，我们采用了Berger和Ireton（1）所描述的技术。在我们看来，该方法相当复杂，需要特殊的器械，因此我们认为它不切实际。基于上述技术的原理，我们精心设计了一种预防性止血方法，使用金属丝环压迫这些浅表和筋膜下阴茎背静脉（2），这似乎用任何外科和泌尿外科科室的常规设备都易于操作。
