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Erschienen in: World Journal of Urology 3/2013

01.06.2013 | Original Article

Athermal nerve sparing robot-assisted radical prostatectomy: initial experience with microporous polysaccharide hemospheres as a topical hemostatic agent

verfasst von: Rafael Nunez-Nateras, Kimberly J. Hurd, Erin N. Ferrigni, Erik P. Castle, Paul E. Andrews, Mitchell R. Humphreys

Erschienen in: World Journal of Urology | Ausgabe 3/2013

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Abstract

Purpose

Microporous polysaccharide hemospheres (MPH) are hemostatic beads engineered from plant starch to accelerate the natural clotting cascade. The purpose of this report is to detail our initial experience with MPH as a topical hemostatic agent during robot-assisted radical prostatectomy (RARP).

Methods

We examined a single surgeon series of 30 consecutive RARP’s dividing patients into MPH or non-MPH groups. The last ten procedures utilized the MPH, which were matched 1:2 to non-MPH procedures for comparison. Nerve-sparing procedures were performed when clinically indicated and all done athermally. All demographic data, length of operation, margin status, blood loss, change in hemoglobin, and need for blood transfusion were prospectively collected and analyzed.

Results

The baseline characteristics were the same. The post-operative decrease in hemoglobin was less in the MPH group (1.8 g/dL MPH group vs. 3.2 g/dL non-MPH). One patient in each group required a blood transfusion.

Conclusions

These preliminary findings support the role for MPH as a potential hemostatic agent during athermal nerve-sparing RARP.
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Metadaten
Titel
Athermal nerve sparing robot-assisted radical prostatectomy: initial experience with microporous polysaccharide hemospheres as a topical hemostatic agent
verfasst von
Rafael Nunez-Nateras
Kimberly J. Hurd
Erin N. Ferrigni
Erik P. Castle
Paul E. Andrews
Mitchell R. Humphreys
Publikationsdatum
01.06.2013
Verlag
Springer-Verlag
Erschienen in
World Journal of Urology / Ausgabe 3/2013
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-011-0815-8

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