A SAFE AND EFFECTIVE METHOD FOR REMOVING ORGANIZED BLOOD HEMATOMA FROM THE BLADDER: THE CLOT MORCELLATION TECHNIQUE
[ N/A ]
Tarih
2023
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Introduction: Urinary retention caused by bladder clots can be an extremely challenging medical condition when these blood clots are difficult to remove. We established an alternative technique to evacuate blood clots from the bladder by using morcellator devices following endoscopic urologic operations when all other conventional methods failed. Material and Method: The clot morcellation technique (CMT) used to treat 12 male patients who had severe clot retention and failed with conventional techniques following TUR-P, TUR-B, or laser prostatectomy. We describe how to use the morcellator to manage bladder blood clots and discuss this novel technique's outcomes. Results: We successfully used this technique to remove a large quantity of hematoma and empty the bladder in all patients with clot retention. The median time of clot removal was 6.9±4.4 minutes. The median estimated volume of hematomas was 80mL (range 20-400). There were no preoperative or postoperative complications. Conclusion: The evacuation of clotted blood in the bladder can be complicated and operational interventions need to be applied. However, having a clot-free bladder at the end of the procedure can be time-consuming and may not always be guaranteed. When other traditional treatments fail to completely remove the blood clot, the CMT is a rapid, easy, safe, and effective method to remove the blood clot entirely
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İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi
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Cilt
27
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1
