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Perioperative blood loss in open retropubic radical prostatectomy - is it safe to get operated at an educational hospital?

INTRODUCTION: Blood loss during radical prostatectomy has been a long term issue. The aim of this study was to investigate the influence of the training level of the first assistant regarding blood loss in open retropubic radical prostatectomy at an educational hospital. MATERIAL AND METHODS: 364 pa...

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Autores principales: Karl, A, Buchner, A, Beckerv, H, Staehler, M, Seitz, M, Stief, C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3458639/
https://www.ncbi.nlm.nih.gov/pubmed/19661011
http://dx.doi.org/10.1186/2047-783X-14-7-292
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author Karl, A
Buchner, A
Beckerv, H
Staehler, M
Seitz, M
Stief, C
author_facet Karl, A
Buchner, A
Beckerv, H
Staehler, M
Seitz, M
Stief, C
author_sort Karl, A
collection PubMed
description INTRODUCTION: Blood loss during radical prostatectomy has been a long term issue. The aim of this study was to investigate the influence of the training level of the first assistant regarding blood loss in open retropubic radical prostatectomy at an educational hospital. MATERIAL AND METHODS: 364 patients underwent radical prostatectomy from 11/2006 to 10/2007 at one institution operated by one surgeon. In 319 patients all predefined parameters were obtained. Training level was determined by year of residency (1-5 yrs) or consultant status. Perioperative blood loss was calculated using three parameters: Hemoglobin level before and after surgery, postoperative sucker volume and weight of compresses. Furthermore the influence of prostatic size and BMI was analyzed. RESULTS: The Hb-decrease 24 h postoperatively was 2.4 g/dl median (-0.4-7.6 g/dl); sucker volume was 250 ml median (10-1500 ml); weight of compresses and swabs was 412 g median (0-972 g). One patient needed a transfusion with two erythrocyte concentrates one day after the surgery. There was no significant correlation regarding Hb-decrease (p = 0.86) or sucker volume plus weight of compresses (p = 0.59) in regard to the years of residency of the assisting physician. Also the number of assisted operations (n = < or > 20) had no significant influence on calculated blood loss (p = 0.38). CONCLUSIONS: For an experienced surgeon the impact of the assistant regarding blood loss seems negligible. The training level of the assistant was not significantly correlated to a rise or decrease of perioperative blood loss. In our data radical prostatectomy could be safely performed at an educational hospital independent of the training level of the first assistant.
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spelling pubmed-34586392012-09-27 Perioperative blood loss in open retropubic radical prostatectomy - is it safe to get operated at an educational hospital? Karl, A Buchner, A Beckerv, H Staehler, M Seitz, M Stief, C Eur J Med Res Research INTRODUCTION: Blood loss during radical prostatectomy has been a long term issue. The aim of this study was to investigate the influence of the training level of the first assistant regarding blood loss in open retropubic radical prostatectomy at an educational hospital. MATERIAL AND METHODS: 364 patients underwent radical prostatectomy from 11/2006 to 10/2007 at one institution operated by one surgeon. In 319 patients all predefined parameters were obtained. Training level was determined by year of residency (1-5 yrs) or consultant status. Perioperative blood loss was calculated using three parameters: Hemoglobin level before and after surgery, postoperative sucker volume and weight of compresses. Furthermore the influence of prostatic size and BMI was analyzed. RESULTS: The Hb-decrease 24 h postoperatively was 2.4 g/dl median (-0.4-7.6 g/dl); sucker volume was 250 ml median (10-1500 ml); weight of compresses and swabs was 412 g median (0-972 g). One patient needed a transfusion with two erythrocyte concentrates one day after the surgery. There was no significant correlation regarding Hb-decrease (p = 0.86) or sucker volume plus weight of compresses (p = 0.59) in regard to the years of residency of the assisting physician. Also the number of assisted operations (n = < or > 20) had no significant influence on calculated blood loss (p = 0.38). CONCLUSIONS: For an experienced surgeon the impact of the assistant regarding blood loss seems negligible. The training level of the assistant was not significantly correlated to a rise or decrease of perioperative blood loss. In our data radical prostatectomy could be safely performed at an educational hospital independent of the training level of the first assistant. BioMed Central 2009-07-22 /pmc/articles/PMC3458639/ /pubmed/19661011 http://dx.doi.org/10.1186/2047-783X-14-7-292 Text en Copyright ©2009 I. Holzapfel Publishers
spellingShingle Research
Karl, A
Buchner, A
Beckerv, H
Staehler, M
Seitz, M
Stief, C
Perioperative blood loss in open retropubic radical prostatectomy - is it safe to get operated at an educational hospital?
title Perioperative blood loss in open retropubic radical prostatectomy - is it safe to get operated at an educational hospital?
title_full Perioperative blood loss in open retropubic radical prostatectomy - is it safe to get operated at an educational hospital?
title_fullStr Perioperative blood loss in open retropubic radical prostatectomy - is it safe to get operated at an educational hospital?
title_full_unstemmed Perioperative blood loss in open retropubic radical prostatectomy - is it safe to get operated at an educational hospital?
title_short Perioperative blood loss in open retropubic radical prostatectomy - is it safe to get operated at an educational hospital?
title_sort perioperative blood loss in open retropubic radical prostatectomy - is it safe to get operated at an educational hospital?
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3458639/
https://www.ncbi.nlm.nih.gov/pubmed/19661011
http://dx.doi.org/10.1186/2047-783X-14-7-292
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