Modern Open Prostatectomy

2014 ◽  
pp. 99-112
Author(s):  
Saman Shafaat Talab ◽  
Shahin Tabatabaei
Keyword(s):  
Open Prostatectomy

Ethics, Logistics and a Trial of Transurethral versus Open Prostatectomy

1992 ◽  
Vol 69 (4) ◽  
pp. 372-374 ◽  
Author(s):  
B. J. JENKINS ◽  
P. SHARMA ◽  
D. F. BADENOCH ◽  
C. G. FOWLER ◽  
J. P. BLANDY
Keyword(s):  
Open Prostatectomy

587Reoperation, mortality and myocardial infarction after transurethral and open prostatectomy: A nation-wide, long-term analysis of 23.123 cases

2005 ◽  
Vol 4 (3) ◽  
pp. 149
Author(s):  
S. Madersbacher ◽  
J. Lackner ◽  
C. Brössner ◽  
M. Roehlich ◽  
I. Stancik ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Open Prostatectomy ◽  
Term Analysis

scholarly journals Is Holmium Laser Enucleation of the Prostate a Good Surgical Alternative in Benign Prostatic Hyperplasia Management? A Review Article

2020 ◽  
Vol 11 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Amirreza Abedi ◽  
Mohammad Reza Razzaghi ◽  
Amirhossein Rahavian ◽  
Ebrahim Hazrati ◽  
Fereshte Aliakbari ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Specific Antigen ◽  
Young Patients ◽  
Outlet Obstruction ◽  
Prostatic Hyperplasia ◽  
Holmium Laser ◽  
Safe Procedure ◽  
Open Prostatectomy ◽  
Laser Enucleation ◽  
Holmium Laser Enucleation

Several therapeutic approaches such as holmium laser enucleation of the prostate (HoLEP) have been introduced to relieve bladder outlet obstruction caused by benign prostatic hyperplasia (BPH). Compared with other techniques including the transurethral resection of the prostate (TURP) and simple open prostatectomy, HoLEP results in a shorter hospital stay and catheterization time and fewer blood loss and transfusions. HoLEP is a size-independent treatment option for BPH with average gland size from 36 g to 170 g. HoLEP is a safe procedure in patients receiving an anticoagulant and has no significant influence on the hemoglobin level. Also, HoLEP is an easy and safe technique in patients with a prior history of prostate surgery and a need for retreatment because of adenoma regrowth. The postoperative erectile dysfunction rate of patients treated with HoLEP is similar to TURP or open prostatectomy and about 77% of these patients experience loss of ejaculation. Patients with transitional zone volume less than 30 mL may suffer from persistent stress urinary incontinence following HoLEP so other surgical techniques like bipolar TURP are a good choice for these patients. In young patients, considering HoLEP with high prostate-specific antigen density and a negative standard template prostate biopsy, multiparametric MRI needs to be considered to exclude prostate cancer.

When Should Open Prostatectomy Be Performed?

1992 ◽  
pp. 31-34
Author(s):  
G. Hubmer ◽  
T. Colombo ◽  
M. Rauchenwald
Keyword(s):  
Open Prostatectomy

scholarly journals Concentrations of ceftriaxone (1,000 milligrams intravenously) in abdominal tissues during open prostatectomy.

1996 ◽  
Vol 40 (5) ◽  
pp. 1311-1313 ◽  
Author(s):  
C Martin ◽  
X Viviand ◽  
A Cottin ◽  
V Savelli ◽  
C Brousse ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Staphylococcus Aureus ◽  
Single Dose ◽  
Klebsiella Pneumoniae ◽  
Proteus Mirabilis ◽  
Surgical Procedure ◽  
Postoperative Infection ◽  
Abdominal Cavity ◽  
Open Prostatectomy ◽  
Three Stages

Ceftriaxone concentrations in abdominal tissues were evaluated at different stages of open prostatectomy. Ceftriaxone was administered as antibiotic prophylaxis, and 15 consecutive patients were given a single dose of ceftriaxone (1,000 mg intravenously in 1 min) 30 min before surgery. Ceftriaxone concentrations in tissue were determined at three stages of the surgical procedure; upon the opening of the abdominal cavity, during the prostatectomy, and upon the closure of the abdominal cavity. Samples of the following tissues or sample were assayed: epiploic and abdominal-wall fat; Retzius' space, bladder, and prostate tissue; and urine. During the different stages of the surgical procedure, for all patients, and in the different tested tissues, ceftriaxone concentrations greater than or equal to the cutoff point (4 micrograms/g of tissue) were measured. The highest concentrations were obtained in the bladder (43 +/- 18 micrograms/g) and in the prostate (35 +/- 18 micrograms/g). In fatty tissues, concentrations were between 13 +/- 5 and 22 +/- 8 micrograms/g. All patients (15 of 15) had ceftriaxone levels in tissue greater than the MICs for the potential pathogens (Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis). In conclusion, during open prostatectomy and after the use of a single dose of ceftriaxone (1,000 mg), high antibiotic levels were obtained throughout the surgical procedure in the tissues potentially involved in postoperative infection.

scholarly journals Transversus Abdominis Plane Block

2019 ◽  
Vol 131 (5) ◽  
pp. 1166-1190 ◽  
Author(s):  
De Q. Tran ◽  
Daniela Bravo ◽  
Prangmalee Leurcharusmee ◽  
Joseph M. Neal
Keyword(s):  
Epidural Analgesia ◽  
Open Appendectomy ◽  
Laparoscopic Hysterectomy ◽  
Lateral Approach ◽  
Thoracic Epidural Analgesia ◽  
Erector Spinae ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Open Prostatectomy ◽  
Thoracic Epidural

Abstract In this narrative review article, the authors discuss the anatomy, nomenclature, history, approaches (posterior vs. lateral vs. subcostal), techniques, pharmacology, indications, and complications of transversus abdominis plane blocks, as well as possible alternative truncal blocks. Despite the scarcity of evidence and contradictory findings, certain clinical suggestions can nonetheless be made. Overall transversus abdominis plane blocks appear most beneficial in the setting of open appendectomy (posterior or lateral approach). Lateral transversus abdominis plane blocks are not suggested for laparoscopic hysterectomy, laparoscopic appendectomy, or open prostatectomy. However, transversus abdominis plane blocks could serve as an analgesic option for Cesarean delivery (posterior or lateral approach) and open colorectal section (subcostal or lateral approach) if there exist contraindications to intrathecal morphine and thoracic epidural analgesia, respectively. Future investigation is required to compare posterior and subcostal transversus abdominis plane blocks in clinical settings. Furthermore, posterior transversus abdominis plane blocks should be investigated for surgical interventions in which their lateral counterparts have proven not to be beneficial (e.g., laparoscopic hysterectomy/appendectomy, open prostatectomy). More importantly, because posterior transversus abdominis plane blocks can purportedly provide sympathetic blockade and visceral analgesia, they should be compared with thoracic epidural analgesia for open colorectal surgery. Finally, transversus abdominis plane blocks should be compared with newer truncal blocks (e.g., erector spinae plane and quadratus lumborum blocks) with well-designed and adequately powered trials.

scholarly journals Platypnea-orthodeoxia syndrome after open prostatectomy and cystolithotomy: Coincidence or unknown pathophysiology?

2020 ◽  
Vol 8 ◽  
pp. 2050313X2090459
Author(s):  
Ismael P Flores ◽  
Alexandre T Maciel
Keyword(s):  
Case Report ◽  
Patent Foramen Ovale ◽  
Inferior Vena ◽  
Vena Cava ◽  
Sitting Position ◽  
Foramen Ovale ◽  
Open Prostatectomy ◽  
Anatomical Changes ◽  
Upper Abdominal ◽  
Cardiac Shunt

A few cases of platypnea-orthodeoxia syndrome have been described in the literature, some of them after thoracic or upper abdominal surgeries. In most cases, hypoxemia in the upright or sitting position, which is the main clinical symptom for this uncommon diagnosis, is usually related to a dynamic right to left cardiac shunt induced by anatomical changes in the relative position between the inferior vena cava and the atria in the presence of a patent foramen ovale. In this case report, we describe a situation in which platypnea-orthodeoxia syndrome developed acutely before surgery but that became severely exacerbated after an open urologic surgery without a clear acute anatomical change that could be responsible for triggering the syndrome. This case might suggest that the pathophysiology of acute platypnea-orthodeoxia syndrome is not completely elucidated and that other possible triggers for acute clinical manifestation in addition to acute anatomical thoracic changes must be explored.

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