Transüretral Prostat Rezeksiyonunda Nitrogliserin İle Kontrollü Hipotansif Genel Anestezinin Yeri

Authors : S YILDIZ, Z ESENER, R AŞÇI, B DEMİRCAN, Ş SARIKAYA, R BÜYÜKALPELLİ, AF YILMAZ, MG ÖZKAN

Pages : 0-0

Doi:10.5835/jecm.v13i2.665

View : 42 | Download : 8

Publication Date : 2009-12-23

Article Type : Other Papers

Abstract :In this prospective trial the effects of controlled hypotension with nitroglycerin during transurethral resection of the prostate insert ignore into journalissuearticles values(TORP); on blood loss, operating time and postope-rative catheter removal time were studied. General anaeshesia with controlled hypoten¬sion insert ignore into journalissuearticles values(GACH); was used in 15 patients; other 15 patients received only general anaesthesia insert ignore into journalissuearticles values(GA); and another 15 had epidural anaesthesia insert ignore into journalissuearticles values(EA);. The mean time of resection under GACH insert ignore into journalissuearticles values(37+3 mins); was shorter than those of EA insert ignore into journalissuearticles values(40±3 mins); and only GA insert ignore into journalissuearticles values(41±3 mins);, but these differences were not statistically signifi¬cant insert ignore into journalissuearticles values(p>0.05);. The resected tissue for each minute in the group received GACH insert ignore into journalissuearticles values(0.71 g/ min); was significantly higher than those of the groups had only GA insert ignore into journalissuearticles values(0.54 g/min); and EA insert ignore into journalissuearticles values(0.43 g/min);. Although mean blood loss per gram of resected tissue in the group received GACH was 21+2 ml, these were found as 39+3 ml and 48.3.ml in GA and EA groups respectively insert ignore into journalissuearticles values(p 0.05);. Bir dakikada rezeke edilen doku ağırlığı KHGA grubunda insert ignore into journalissuearticles values(0.71 g);, GA insert ignore into journalissuearticles values(0.54 g); ve EA insert ignore into journalissuearticles values(0.43 g); gruplanndan anlamlı şekilde fazla bulundu insert ignore into journalissuearticles values(p 0.05);. Sonuç olarak, kardiak durumu stabil ve hipertansif BPH olgularında KHGA, TURP süresini kısaltabilir, kanama miktannı azaltabilir ve cerraha işlem sırasında optimum endoskopik görüntü sağlayabilir.
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