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Comparación de complicaciones por sangrado en resección transuretral de próstata con y sin participación de residentes / Comparison of complications for bleeding in transurethral resection of prostate with and without participation of residents
Valdevenito S., Juan Pablo; Reyes O., Diego; Valdevenito S., Raúl; Gómez G., Álvaro; Cuevas T., Miguel Ángel; Osorio M., Francisco.
Afiliação
  • Valdevenito S., Juan Pablo; Universidad de Chile. Hospital Clínico. Servicio de Urología. Santiago. CL
  • Reyes O., Diego; Universidad de Chile. Hospital Clínico. Servicio de Urología. Santiago. CL
  • Valdevenito S., Raúl; Universidad de Chile. Hospital Clínico. Servicio de Urología. Santiago. CL
  • Gómez G., Álvaro; Universidad de Chile. Hospital Clínico. Servicio de Urología. Santiago. CL
  • Cuevas T., Miguel Ángel; Universidad de Chile. Hospital Clínico. Servicio de Urología. Santiago. CL
  • Osorio M., Francisco; Universidad de Chile. Facultad de Medicina. Santiago. CL
Rev. Hosp. Clin. Univ. Chile ; 19(3): 198-203, 2008. tab
Article em Es | LILACS | ID: lil-530346
Biblioteca responsável: CL36.1
ABSTRACT

Introduction:

transurethral resection of the prostate (TURP) is still the gold standard treatment of prostatic obstruction. The objective of the present study is to compare the bleeding complications of TURP with and without the participation of residents. Material and

methods:

The data was obtained from a prospective protocol that included 200 patients submitted to TURP. Eleven patients were excluded from the study (5,5 percent). No patient was lost from follow-up.

Results:

Were viewed 189 surgeries, 46 with resident participation (24,3 percent). The operations performed by residents were more prolonged, and required more days with bladder drainage. The following bleeding complications were observed 1) Bladder catheter washing to solve obstruction by clots 11,6 percent, 2) Endoscopic revision in severe hematuria 2,6 percent, 3) Readmission to the hospital in complete urinary retention secondary to clots 2,1 percent and 4) Blood transfusion 2,1 percent. The transfusion rate was significantly higher in resident surgeries (6,5 percent versus 0,7 percent, p=0,045), without differences in the other bleeding complications.

Conclusion:

The rate of bleeding complications is comparable to that recently published. Applying strict criterion for blood transfusion, no difference was observed between the groups. At our institution, the process of teaching and learning TURP does not increase significantly the risk of bleeding complications.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Ressecção Transuretral da Próstata / Hemorragia Tipo de estudo: Guideline Limite: Aged / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: Es Revista: Rev. Hosp. Clin. Univ. Chile Assunto da revista: MEDICINA Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Ressecção Transuretral da Próstata / Hemorragia Tipo de estudo: Guideline Limite: Aged / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: Es Revista: Rev. Hosp. Clin. Univ. Chile Assunto da revista: MEDICINA Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile