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Comparative evaluation of the effectiveness of various energy blocks in the bipolar prostate surgery

Written by Semyonychev D.V., Sevryukov F.A., Sorokin D.A., Karpukhin I.V., Puchkin A.B., Kochkin A.D., Knutov A.V.

  UDK: 616.65-007.6-089.849.114 | Pages: 88–90 | Full text PDF | Open PDF 

Annotation:
Objective. The purpose of research is a comparative evaluation of the results of prostate bipolar vasoresection using a variety of electrosurgical units. Methods. 34 patients (study group) was performed bipolar vasoresection on Thunderbeat platform, and 40 (control group) – with UES-40 Electrosurgical Unit. Results. The operative time was 62±2,8 min for main group and 79±2,9 min for the control one. Saline flow during operation amounted to 14.7±0.7 and 19.4±0.9 L, respectively. The volume intraoperative blood loss in the study group was 44.9±3.1 ml (15 to 85 ml) in control - 76.3±7.6 mL (20 to 200 ml). Conclusions. The use of modern electrosurgical systems can significantly facilitate the surgeon's work and protects the patient from different electro-complications. In our experience, the use of advanced "smart" bipolar electrosurgical unit brought prostate vasoresection to a new level.

Links to authors:

D.V. Semyonychev, F.A. Sevryukov, D.A. Sorokin, I.V. Karpukhin,
A.B. Puchkin, A.D. Kochkin, A.V. Knutov Railway Clinical Hospital in Gorkiy station (8в Tallinskaya St. Nizhniy Novgorod 603140 Russian Federation)


1. Al-Shukri S.Kh., Ivanov A.O., Korneev I.A. Preventive care and treatment of TUR syndrome in patients with BPH // Meeting of Urinologist Association of Don: abstracts. Rostov-on-Don, 1996. P. 10–11.
2. Efremov A.P. Prostate adenoma is a manifestation of male menopause // Lekarstvennye rasteniia. 2002. No. 3. P. 17–21.
3. Zabrodina N.B. Comparative analysis of the efficacy of open transsurgical prostatectomy and transurethral electroresection in patients with benign prostatic hyperplasia: thesis abstract, PhD. М., 2001. 24 p.
4. Polosyants O.B. Arterial hypertension and benign prostatic hyperplasia. Modern approaches to treatment // Emergency Care. 2007. Vol. 1, No. 2. P. 88–93.
5. Pushkar D.Yu., Rasner P.I. Disorders of micturition and sexual function in patients with benign prostatic hyperplasia // Vrach. 2003. No. 6. P. 34–38.
6. Urology: national guidance / edited by N.A. Lopatkin. М.: GEOTAR- Media, 2009. 1024 p.
7. Ghozzi S., Ghorbel J., Ben Ali M. [et al.]. Bipolar versus monopolar transurethral resection of the prostate: a prospective randomized study // Prog. Urol. 2014. Vol. 24, No. 2. P. 121–126.
8. Komura K., Inamoto T., Takai T. [et al.]. Could transurethral resection of the prostate using the TURis system take over conventional monopolar transurethral resection of the prostate? A randomized controlled trial and midterm results // Urology. 2014. Vol. 84, No. 2. P. 405–411.
9. Novara A., Galfanoa M., Gardi А. [et al.]. Critical review of guidelines for BPH diagnosis and treatment strategy // Eur. Urol. 2006. No. 5. P. 418–429.

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