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Title: 前立腺摘除術における新しい止血法 --経精管止血剤注入法--
Other Titles: Control of postprostatectomy bleeding via intubated scrotal vasostomy
Authors: 友吉, 唯夫  KAKEN_name
斉藤, 博  KAKEN_name
速水, 晴朗  KAKEN_name
福原, 公  KAKEN_name
柴, 務  KAKEN_name
Author's alias: Tomiyoshi, Tadao
Saito, Hiroshi
Hayami, Haruo
Fukuhara, Isao
Shiba, Tsutomu
Keywords: Aged
Hemorrhage/prevention & control
Hemostatics/administration & dosage
Postoperative Complications/prevention & control
Spermatic Cord
Vas Deferens/surgery
Issue Date: May-1968
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 14
Issue: 5
Start page: 530
End page: 532
Abstract: There have been many methods attempted to control bleeding in prostatectomy of any type. Among them, hemostatic bags, hemostatic ligatures, or cryogenic approach have been prevalent. This paper deals with a new method by which bleeding after suprapubic prostatectomy was considerably lessened. After conventional prostatectomy, vas deferens was exposed bilaterally in the scrotum. The epididymal side was ligated to prevent epididymitis. A small polyethylene tube was inserted toward the seminal vesicle through a transverse incision made just above the ligation site. The wound was closed leaving intubated vasostomy. Through the tubes of both sides, hemostatic agents such as AC-17 and Manetol (Bayer) were intermittently injected postoperatively for 3 to 6 days. Postoperative seminal vesiculograms suggested that the drugs might be partly absorbed by the seminal vesicle and have infiltrated into the surrounding tissue but mostly reached the, prostatic bed in high concentration.
PubMed ID: 5751596
Appears in Collections:Vol.14 No.5

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