Open simple prostatectomy and blood transfusion in Nairobi

Ngugi, P M; Saula, Peter

doi:10.4314/eamj.v84i9.9557

Cited by 13 publications

(19 citation statements)

References 23 publications

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“…[16] Earlier authors had reported various blood transfusion rates of up to 31-36.8%. [17,18] We noted a blood transfusion rate of 30.6% that is similar to earlier findings. [17,18] Our observed blood transfusion rate may be due to the fact there was no uniform hemostatic technique adopted in all cases, large prostate size may also have been contributory.…”

Section: Discussionsupporting

confidence: 89%

“…[21,22] A mortality rate of 1% is comparable to other series. [4,18] One case had significant postoperative hemorrhage, this was also observed by Ngugi and Saula [18] and highlights the need for awareness of this potential complication and deploy preventive hemostatic maneuvers. Another mortality occurred as a result of pulmonary embolism, which has been associated with open prostatectomy.…”

Section: Discussionsupporting

confidence: 54%

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Transvesical prostatectomy in the management of benign prostatic hyperplasia in a developing country

Ugwumba¹,

Ozoemena²,

Okoh³

et al. 2014

Niger J Clin Pract

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 54%

Transvesical prostatectomy in the management of benign prostatic hyperplasia in a developing country

Ugwumba¹,

Ozoemena²,

Okoh³

et al. 2014

Niger J Clin Pract

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“…Similar rates of 12.7% and 13.0% respectively were observed by Suer et al [17] and Kyei et al [10]. In contrast, rates of 24.5% and 36.8% were observed from studies done in some other hospitals [22] [25]. Transfusion of only one pint of blood to a patient means the blood was probably not required [8], so it may be safely assumed that the one pint of blood given in 5.7% of our patients were unnecessary.…”

Section: Discussionsupporting

confidence: 76%

Open Prostatectomy in the Management of Benign Prostate Hyperplasia in a Developing Economy

Salako¹,

Badmus²,

Owojuyigbe³

et al. 2016

OJU

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Background: Open prostatectomy (OP) is still relatively common in developing countries and remains a useful benchmark against which the minimal access surgical techniques are compared. This study aims to document the indications and outcomes of OP in a typical developing economy. Method: The records of patients with benign prostate hyperplasia (BPH) who had OP in our university teaching hospital between July 2004 and June 2014 were retrospectively reviewed. Some analyzed parameters include the demographic characteristics, indications, pre-operative work-up, anaesthetic techniques, OP type, complications, histopathology results and follow-up duration. Results: A total of 247 cases were studied. Mean age was 67 years while the commonest surgery indication was recurrent acute urinary retention. Average prostate specific antigen (PSA) was 8.4 ng/ml while hypertension was the most common co-morbidity (44.1%). Regional anaesthesia was mainly used (79.4%) while retropubic prostatectomy was the commonest OP type done (58.7%). The enucleated specimen weighed above 60 g in 91.9% of cases. All our patients were able to micturate spontaneously with urine stream above 20 mls/second on follow-up one week after discharge. Mean duration of hospital admission and follow-up were 7 days and 9 months respectively. Complications occurred in 90 patients (36.4%), of which surgical site infections were the commonest (9.8%). There was 0.4% mortality. Histopathology results showed BPH (95.5%), (incidental) prostate adenocarcinoma (2.4%) or prostatic intra-epithelial neoplasia (2.1%). Conclusion: OP remains an important therapeutic option for management of BPH in developing countries partly due to relatively large prostate size and presence of BPH complications from late presenta-#

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“…The OP is associated with higher EBL, notably in enlarged prostate (25). However, more EBL will adversely affect patients in terms of risk of adverse events of blood transfusions (26).…”

Section: Disclosurementioning

confidence: 99%

Preoperatif Nötrofil Lenfosit Oranının Açık Prostatektomi Yapılan Benign Prostat Hiperplazili Hastalarda Perioperatif Sonuçlara Etkisi

Ateş¹,

Akın²,

Ipekci³

et al. 2017

Akd Med J

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Objective: To evaluate preoperative Neutrophil-to-lymphocyte ratio (NLR) in patients who underwent open prostatectomy (OP) for symptomatic BPH. Material and Methods:Our database were investigated for OP between December 2012 and November 2015. Demographic, perioperative, and postoperative data were recorded. Delta haemoglobin was calculated as (preoperative haemoglobin) -(post-operative haemoglobin). Complications was assessed according to Clavien Classification. Significant p was p<0.05. Results:In total, 47 patients enrolled into the study. Mean age was 71.1±4.9 years. Mean Prostate specific antigen 3.7±2.1 ng/dl, Mean delta haemoglobin was 2.4±1.4 and mean duration of drainage was 4.4±1.3 days. Mean NLR was 4±1.6. According to statistical analyses NLR was significant associated with estimated blood loss (EBL) (p=0.005). In multivariate logistic regression analyses, EBL was also associated with operation time (p=0.02) and blood transfusion rate (p=0.05). The most common complication was postoperative fever, in 12 patients (Clavien1). Seven patients needed blood transfusion (Clavien 2). Conclusion:Preoperative NLR may help us to predict EBL and indirectly operation time, in OP patients. There is need more well designed studies with and high numbers of patients on this issue.Key Words: Benign prostatic hyperplasia, Neutrophil to lymphocyte ratio, Operative time, Prostatectomy, Surgical blood loss ÖZ Amaç: Çalışmanın amacı semptomatik benign prostat hiperplazisi (BPH) nedeniyle açık prostatektomi yapılan hastalarda preoperatif nötrofil lenfosit oranının (NLO) perioperatif sonuçlar üzerine etkisinin değerlendirilmesidir. Gereç ve Yöntemler:Aralık 2012 ve Kasım 2015 arasında BPH nedeniyle açık prostatektomi olan hastaların demografik, perioperatif ve postoperatif verileri retrospektif olarak değerlendirildi. Demografik özellikler olarak yaş, komorbiditeler, prostat hacmi (ml), PSA (ng/dl), serum nötrofil ve lenfosit değerleri ve oranı; intraoperatif özellikler olarak operasyon süresi (dk.), tahmini kan kaybı (ml), kan transfüzyon oranı; postoperatif özellikler olarak hospitalizasyon süresi ile drenaj kateterinin ve üretral sondanın kalış süresi, kan transfüzyon miktarı ve komplikasyonlar kaydedildi. Delta haemoglobin (Preoperatif Hemoglobin -Postoperatif Hemoglobin) ölçüldü. Komplikasyonlar Clavien sınıflamasına göre değerlendirildi. Anlamlı p değeri p<0.05 olarak kabul edildi. Bulgular:Toplam 47 hasta çalışmaya dahil edildi. Ortalama yaş 71,1±4,9 yıl, ortalama PSA değeri 3,7±2,1 ng/dl, ortalama prostat hacmi 89,3±4,7 ml, ortalama delta haemoglobin değeri 2,4±1,4, drenaj kateterinin ortalama kalış süresi 4,4±1,3 gün ve ortalama NLO 4±1,6 idi. Tahmini kan kaybı ile NLO arasında istatistiksel olarak anlamlı bir ilişki vardı (p=0,005). Multivariate lojistik regresyon

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Open simple prostatectomy and blood transfusion in Nairobi

Cited by 13 publications

References 23 publications

Transvesical prostatectomy in the management of benign prostatic hyperplasia in a developing country

Transvesical prostatectomy in the management of benign prostatic hyperplasia in a developing country

Open Prostatectomy in the Management of Benign Prostate Hyperplasia in a Developing Economy

Preoperatif Nötrofil Lenfosit Oranının Açık Prostatektomi Yapılan Benign Prostat Hiperplazili Hastalarda Perioperatif Sonuçlara Etkisi

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