Morbimortality with a packaging technique in prostate surgery

Resumen

Introduction. Prostatic hyperplasia is considered the most common benign tumor in man, causing a rapid evolution in medical and surgical treatment modalities; transurethral endoscopic approach is the goal standard in prostates smaller than 70 grams; above that weight, open surgery is preferred.. Our objective was to determine morbidity and mortality in postoperative patients with prostatic hyperplasia with a new technique of packaging and unpackaging in prostates greater than 70 grams.

Methods. A clinical trial was conducted in 16 patients scheduled for prostatectomy, which were divided into two groups: Group A (n = 7) with the packaging technique and Group B (n = 9) as a control group (without packaging). Post-operative bleeding, number of transfused globular packets, surgical time, concomitant diseases, hospital stay, complications and weight of the gland were measured. The statistical analysis was performed by means of the chi square test for the qualitative variables and the Student's T test.

Results. There was no statistical difference in the T test for the variables of surgical bleeding as well as hemoglobin before and after surgery. The average weight of the prostate in group I was 130.7 grams and in group II 117 grams; greater frequency of comorbid diseases in group 2 was found. There was no surgical mortality.

Conclusions. Transoperative bleeding was more favorable in the control group in terms of lower requirement of globular packages and minor surgical bleeding. No morbidity or postoperative mortality was recorded with the packaging technique. Comorbid diseases had no influence on results.

Keywords. Morbidity and mortality, prostatectomy