Single-Center Retrospective Study of Preoperative Prostatic Artery Embolization with the Use of Gelatin Sponge: Initial Experience and Influence for Blood Loss in Prostate Surgery

Shin, Min Gi; Kim, Kun Yung; Han, Young-Min; Kim, Kyoung Min; Shin, Yu Seob

doi:10.1016/j.jvir.2019.01.004

Cited by 6 publications

(7 citation statements)

References 22 publications

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“…Pre-operative prostate artery embolisation in patients undergoing simple prostatectomy may be effective in reducing peri-operative bleeding and operative time 665,666 …”

Section: Discussionmentioning

confidence: 99%

“…664 Pre-operative prostate artery embolisation in patients undergoing simple prostatectomy may be effective in reducing peri-operative bleeding and operative time. 665,666 Pancreatic surgery According to a recent systematic review and meta-analysis, late postpancreatectomy bleeding has a mean incidence of 5% with high overall mortality of 21%. Computed tomography scan and diagnostic angiography are equally sensitive in detecting the postpancreatectomy bleeding source, and the endovascular approach appears to be superior to relaparotomy and endoscopy as the primary intervention for bleeding.…”

Section: Prothrombin Complex Concentratementioning

confidence: 99%

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Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care

Kietaibl

Ahmed

Afshari

et al. 2023

European Journal of Anaesthesiology

116

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BACKGROUND Management of peri-operative bleeding is complex and involves multiple assessment tools and strategies to ensure optimal patient care with the goal of reducing morbidity and mortality. These updated guidelines from the European Society of Anaesthesiology and Intensive Care (ESAIC) aim to provide an evidence-based set of recommendations for healthcare professionals to help ensure improved clinical management. DESIGN A systematic literature search from 2015 to 2021 of several electronic databases was performed without language restrictions. Grading of Recommendations, Assessment, Development and Evaluation (GRADE) was used to assess the methodological quality of the included studies and to formulate recommendations. A Delphi methodology was used to prepare a clinical practice guideline. RESULTS These searches identified 137 999 articles. All articles were assessed, and the existing 2017 guidelines were revised to incorporate new evidence. Sixteen recommendations derived from the systematic literature search, and four clinical guidances retained from previous ESAIC guidelines were formulated. Using the Delphi process on 253 sentences of guidance, strong consensus (>90% agreement) was achieved in 97% and consensus (75 to 90% agreement) in 3%. DISCUSSION Peri-operative bleeding management encompasses the patient's journey from the pre-operative state through the postoperative period. Along this journey, many features of the patient's pre-operative coagulation status, underlying comorbidities, general health and the procedures that they are undergoing need to be taken into account. Due to the many important aspects in peri-operative nontrauma bleeding management, guidance as to how best approach and treat each individual patient are key. Understanding which therapeutic approaches are most valuable at each timepoint can only enhance patient care, ensuring the best outcomes by reducing blood loss and, therefore, overall morbidity and mortality. CONCLUSION All healthcare professionals involved in the management of patients at risk for surgical bleeding should be aware of the current therapeutic options and approaches that are available to them. These guidelines aim to provide specific guidance for bleeding management in a variety of clinical situations.

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“…Pre-operative prostate artery embolisation in patients undergoing simple prostatectomy may be effective in reducing peri-operative bleeding and operative time 665,666 …”

Section: Discussionmentioning

confidence: 99%

Section: Prothrombin Complex Concentratementioning

confidence: 99%

Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care

Kietaibl

Ahmed

Afshari

et al. 2023

European Journal of Anaesthesiology

116

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“…26 In the coming years, there may also be an indication for PAE before performing BPH surgeries in PWH or under chronic anticoagulation. 27 According to expert-opinion, PAE is feasible in PWH and an evaluation in patients with bleeding disorders could be very useful.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, embolization is significantly associated with a lower rate of haematuria than TURP (5% of cases) and other haemorrhagic complications like rectal bleeding and inguinal haematomas are also rare 26 . In the coming years, there may also be an indication for PAE before performing BPH surgeries in PWH or under chronic anticoagulation 27 . According to expert‐opinion, PAE is feasible in PWH and an evaluation in patients with bleeding disorders could be very useful.…”

Section: Discussionmentioning

confidence: 99%

Prostate interventions in patients with mild haemophilia: Safe and feasible

Mesnard¹,

Drillaud

Sigaud

et al. 2021

Haemophilia

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Introduction:To date, there is no specific recommendation or evaluation of the morbidity of prostate surgery in patients with haemophilia (PWH) although this surgery is common and at high risk of bleeding. Aim:To assess the post-operative morbidity of benign prostate hyperplasia (BPH) surgeries and of oncological prostate interventions in patients with mild haemophilia A or B. Methods:We performed a monocentre, epidemiological, in real life study. Data were collected between 1 January, 1997 and 1 September, 2020 and focused on prostate biopsy, radical prostatectomy, prostate radiotherapy, simple prostatectomy, transurethral resection of prostate (TURP) and laser-vaporisation in patients with mild haemophilia A or B.

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“…This procedure leads to the shrinking of hyperplasia prostate tissue and reduces the volume of the prostate. Although HoLEP has a relatively low risk of bleeding compared to open prostatectomy, bleeding requiring transfusion has been reported in up to 6.7% of patients in case studies [ 18 ]. Some researchers have suggested that prostate size definitely plays a role in increasing the tendency to bleeding.…”

Section: Preoperative Arterial Embolization For Huge Bphmentioning

confidence: 99%

Robotic Assisted Simple Prostatectomy versus Holmium Laser Enucleation of the Prostate for Patients with Huge Benign Prostatic Hyperplasia

Kim,

Shin

2023

World J Mens Health

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Single-Center Retrospective Study of Preoperative Prostatic Artery Embolization with the Use of Gelatin Sponge: Initial Experience and Influence for Blood Loss in Prostate Surgery

Cited by 6 publications

References 22 publications

Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care

Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care

Prostate interventions in patients with mild haemophilia: Safe and feasible

Robotic Assisted Simple Prostatectomy versus Holmium Laser Enucleation of the Prostate for Patients with Huge Benign Prostatic Hyperplasia

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