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Transient Occlusion of Bilateral Internal Iliac Arteries Facilitates Bloodless Operative Field in Subcapsular Prostatectomy

Transurethral resection of the prostate is the gold standard of surgical treatment for benign prostatic hyperplasia (BPH). Nevertheless, open subcapsular prostatectomy is still performed for large BPH. While enucleation of prostatic adenoma is being performed, unneglectable bleeding can occur and su...

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Autores principales: Takeuchi, Takumi, Zaitsu, Masayoshi, Mikami, Koji, Yui, Shunsuke, Takeshima, Yuta, Okamoto, Naohiko, Imao, Sadao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3295615/
https://www.ncbi.nlm.nih.gov/pubmed/22431941
http://dx.doi.org/10.1155/2012/812615
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author Takeuchi, Takumi
Zaitsu, Masayoshi
Mikami, Koji
Yui, Shunsuke
Takeshima, Yuta
Okamoto, Naohiko
Imao, Sadao
author_facet Takeuchi, Takumi
Zaitsu, Masayoshi
Mikami, Koji
Yui, Shunsuke
Takeshima, Yuta
Okamoto, Naohiko
Imao, Sadao
author_sort Takeuchi, Takumi
collection PubMed
description Transurethral resection of the prostate is the gold standard of surgical treatment for benign prostatic hyperplasia (BPH). Nevertheless, open subcapsular prostatectomy is still performed for large BPH. While enucleation of prostatic adenoma is being performed, unneglectable bleeding can occur and surgeons need to rush to remove adenomas, often using fingers and in a blinded fashion. The blood supply to the prostatic capsule and adenoma can be reduced to a marked extent in subcapsular prostatectomy if the bilateral internal iliac arteries are transiently occluded. Thus, a bloodless operative field is reasonably acquired during enucleation of adenoma, which would, otherwise, be a cause for concern to surgeons due to bleeding. It is not always applicable, but it could be an option if the estimated volume of BPH is more than 100 mL. In two cases, bilateral internal iliac arteries were occluded with Bulldog clamps, and then adenomas of 159 and 97 g were enucleated.
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spelling pubmed-32956152012-03-19 Transient Occlusion of Bilateral Internal Iliac Arteries Facilitates Bloodless Operative Field in Subcapsular Prostatectomy Takeuchi, Takumi Zaitsu, Masayoshi Mikami, Koji Yui, Shunsuke Takeshima, Yuta Okamoto, Naohiko Imao, Sadao Case Rep Med Case Report Transurethral resection of the prostate is the gold standard of surgical treatment for benign prostatic hyperplasia (BPH). Nevertheless, open subcapsular prostatectomy is still performed for large BPH. While enucleation of prostatic adenoma is being performed, unneglectable bleeding can occur and surgeons need to rush to remove adenomas, often using fingers and in a blinded fashion. The blood supply to the prostatic capsule and adenoma can be reduced to a marked extent in subcapsular prostatectomy if the bilateral internal iliac arteries are transiently occluded. Thus, a bloodless operative field is reasonably acquired during enucleation of adenoma, which would, otherwise, be a cause for concern to surgeons due to bleeding. It is not always applicable, but it could be an option if the estimated volume of BPH is more than 100 mL. In two cases, bilateral internal iliac arteries were occluded with Bulldog clamps, and then adenomas of 159 and 97 g were enucleated. Hindawi Publishing Corporation 2012 2012-02-16 /pmc/articles/PMC3295615/ /pubmed/22431941 http://dx.doi.org/10.1155/2012/812615 Text en Copyright © 2012 Takumi Takeuchi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Takeuchi, Takumi
Zaitsu, Masayoshi
Mikami, Koji
Yui, Shunsuke
Takeshima, Yuta
Okamoto, Naohiko
Imao, Sadao
Transient Occlusion of Bilateral Internal Iliac Arteries Facilitates Bloodless Operative Field in Subcapsular Prostatectomy
title Transient Occlusion of Bilateral Internal Iliac Arteries Facilitates Bloodless Operative Field in Subcapsular Prostatectomy
title_full Transient Occlusion of Bilateral Internal Iliac Arteries Facilitates Bloodless Operative Field in Subcapsular Prostatectomy
title_fullStr Transient Occlusion of Bilateral Internal Iliac Arteries Facilitates Bloodless Operative Field in Subcapsular Prostatectomy
title_full_unstemmed Transient Occlusion of Bilateral Internal Iliac Arteries Facilitates Bloodless Operative Field in Subcapsular Prostatectomy
title_short Transient Occlusion of Bilateral Internal Iliac Arteries Facilitates Bloodless Operative Field in Subcapsular Prostatectomy
title_sort transient occlusion of bilateral internal iliac arteries facilitates bloodless operative field in subcapsular prostatectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3295615/
https://www.ncbi.nlm.nih.gov/pubmed/22431941
http://dx.doi.org/10.1155/2012/812615
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