Bipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: A randomised clinical trial
| Autor: | Hussein M. Abdeldaeim, Akram Assem, Ahmed Moussa, Tamer Abou Youssif, Mohamed M. Hashad |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Blood transfusion Urology medicine.medical_treatment 030232 urology & nephrology 03 medical and health sciences 0302 clinical medicine medicine Clinical endpoint In patient Aspirin (B-)(M-)TURBT (bipolar)(monopolar)transurethral resection of bladder tumour medicine.diagnostic_test business.industry Low-dose aspirin Bladder Perforation Cystoscopy Perioperative Diseases of the genitourinary system. Urology Surgery Clinical trial Hb haemoglobin 030220 oncology & carcinogenesis Bipolar Bladder tumours Original Article RC870-923 business medicine.drug |
| Zdroj: | Arab Journal of Urology, Vol 15, Iss 3, Pp 223-227 (2017) Arab Journal of Urology |
| ISSN: | 2090-598X |
| DOI: | 10.1016/j.aju.2017.04.001 |
| Popis: | Objective To compare the safety and efficacy of bipolar vs monopolar transurethral resection of bladder tumour (TURBT) in patients maintained on low-dose aspirin with tumours >3 cm. Patients and methods A prospective randomised single-centre study was performed including 200 patients with bladder tumours of >3 cm, as measured by ultrasonography. All patients were using low-dose aspirin (81 mg/day), which was not stopped in the perioperative period. Patients were randomised into two groups: Group A, monopolar TURBT (M-TURBT); Group B, bipolar TURBT (B-TURBT). The primary endpoint of the study was the decrease in postoperative haemoglobin (Hb) concentration measured using an automated cell counter. The secondary endpoints of the study were intraoperative blood transfusion or the occurrence of urethral trauma during cystoscopy and the need for re-coagulation. Results The postoperative reduction in Hb concentration, was significantly lower in the B-TURBT group [mean (SD) 0.55 (0.26) g/dL] compared with the M-TURBT group [mean (SD) 1.24 (0.61) g/dL] (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|