The way intraoperative prevention of inflammatory complications of prostatectomies

 

(57) Abstract:

The invention relates to medicine, surgery. Carry out selection of the VAS deferens. Them alternately through the puncture in the distal and proximal direction injected procaine solution of the antibiotic in the volume of 10 ml Immediately prior to prostatectomy perform paraproctitis blockade. Using procaine solution of the antibiotic in the volume of 60-80 ml total dose used antibiotic is not greater than or equal to the maximum single dose. The method prevents the occurrence of postoperative inflammatory complications on the part of the seminal tract.

The invention relates to medicine, namely to urology and andrology, and can be used for the prevention of inflammatory complications on the part of the seminal tract in different variants (single or dwuhmomentnam, vaposyrup and Rasputina) of prostatectomies undertaken regarding hyperplasia, cancer and other prostate diseases.

The known method of prevention of inflammatory complications of the seminal tract when prostatectomies about hyperplasia and prostate cancer by two-way vaporesection, p is rigid this method is its relatively low efficiency: even when performing duplex vaporesection the frequency of the most common inflammatory complications on the part of the seminal tract - epididymoorchitis and funiculata - 4 is -6%.

The technical result of the invention is to prevent the occurrence of postoperative inflammatory complications on the part of the seminal tract when prostatectomies.

The technical result is achieved by introducing into semyavynosyaschy path after separation of the VAS deferens at the level of the top departments of the scrotum procaine solution of the antibiotic (antibiotic is selected by determining the sensitivity of flora urine, or use of broad-spectrum antibiotic). Basaveshwara antibiotic-procaine injection combined with paraphrastically antibiotic-procaine blockade.

The proposed method intraoperative prevention of inflammatory complications of the seminal tract when prostatectomies performed in the following way: in the upper divisions of the scrotum alternately on both sides is isolated and fixed with ligatures-taped the tubes that carry sperm, and then through the puncture in the last in the proximal and distal direction injected procaine solution of the antibiotic in the volume of about 10 ml Procaine antibiotic solution at the rate of a single dose of antolino, that solution, extending in the proximal direction, fills the seminal vesicle, and in the distal - epididymis. Next, the skin wound is sutured. Then perform a prostatectomy in the selected version. Directly in front of the stage prostatectomy perform paraproctitis blockade using procaine solution of the antibiotic in the volume of 60-80 ml (procaine antibiotic solution at the rate of a single dose of antibiotic 60-80 ml of 0.25% or 0.5% solution of novocaine, provided that the total dose used antibiotic is not greater than or equal to the maximum pay). This, along with the antibacterial effects are implemented procaine infiltration anesthesia: decreases the invasiveness of the surgery, facilitated the stage enucleation node hyperplasia or neoplasm, decreases bleeding from the Lodge nodes.

Using the above method performed 18 Rasputina prostatectomy (including 7 simultaneously and 11 dwuhmomentnam) and two vaposyrup pozadine prostatectomy about prostate hyperplasia. Frequency funiculitis and epididymoorchitis and funiculitis in the group of patients operated with the use of traditional methods was 3.9%, and at ispolzovati stage II. The bladder stones. Secondary cystitis 20.12.2002 performed Catholicate, simultaneously Rasputina prostatectomy using the above method. Under epidural anesthesia after processing operating margins in the upper divisions of the scrotum alternately on both sides highlighted and fixed ligatures-taped the tubes that carry sperm, and then through the puncture in the last in the proximal and distal direction entered procaine solution Cefotaxime (1,0) in a volume of 10 ml. of a Skin wound on both sides stitched. Next performed Catholicate, simultaneously Rasputina prostatectomy. Directly in front of the stage prostatectomy performed paraphrastically blockade using procaine solution of Cefotaxime (1,0) in a volume of 80 ml postoperative period without features, the urethral catheter was removed on the eighth, urination restored on the twelfth day of the postoperative period, the phenomena of purulent-inflammatory complications of the seminal tract is not marked.

The way intraoperative prevention of inflammatory complications of prostatectomies by successive selection of the VAS deferens in the upper sections Maconomy antibiotic solution in a volume of 10 ml, and just before prostatectomy perform paraproctitis blockade using procaine solution of the antibiotic in the volume of 60-80 ml, while the total dose used antibiotic is not greater than or equal to the maximum pay.

 

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