Biochemical and Haemodynamic Changes during Transurethral Resection of Prostate and Percutaneous Lithotripsy- An Observational Pilot Study

Autor: Nandita Adlakha, Sujata Chaudhary, Prashant Kumar, Sharmila Ahuja, RL Tripathi
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Clinical and Diagnostic Research, Vol 16, Iss 2, Pp UC16-UC20 (2022)
Druh dokumentu: article
ISSN: 2249-782X
0973-709X
DOI: 10.7860/JCDR/2022/51542.15983
Popis: Introduction: Fluid absorption and associated electrolyte derangement is an inevitable complication of Transuretheral Resection of Prostate (TURP) and Percutaneous Lithotripsy (PCNL) irrigation during transurethral resection of prostrate and PCNL. Aim: to analyse changes in serum electrolytes, Lactate Dehydrogenase (LDH) and acid base status, and to evaluate their role as early predictors of clinical and haemodynamic changes following continuous irrigation during transurethral resection of prostrate and PCNL. Materials and Methods: The present observational study was conducted on 20 patients, who underwent TURP and 20 patients who underwent PCNL. A 1.5% glycine and 0.9% normal saline were used for irrigation during TURP and PCNL, respectively. The levels of serum sodium, potassium, free calcium ion, LDH and acid base status were monitored in all patients preoperatively, intraoperatively, at the end of surgery, 6 hours and 24 hours postoperatively. Intraoperative and postoperative haemodynamic parameters were also studied. Results were expressed in the form of mean and standard deviation. A p-value
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