ORIGINAL ARTICLE

10.21276/aan.2016.1.1.4
A Comparison of the Effects of Bipolar Plasma Kinetic and Monopolar Transurethral Resection on the Incidence of Transurethral Resection Syndrome
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July - December 2016 | Vol 1 | Issue 1 | Page : 10-14

Dilsen Ornek1, Cihan Doger3, Kadriye Kahveci2, Kemal Oskay4, İsmail Aytaç1, Aysun Postacı1,Semih Başkan1, Kaan Aktaş5, Serkan Gökkaya5

1 Ankara Numune Training and Research Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey.
2 Ulus State Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey.
3 Ankara Ataturk Training and Research Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey.
4 Gazi Mustafa Kemal State Hospital, Department of Urology, Ankara, Turkey.
5Ankara Numune Training and Research Hospital, Department of Urology, Ankara, Turkey

How to cite this article: Ornek D, Doger C, Kahveci K, Oskay K, Aytaç I, Postacı A, et al. A Comparison of the Effects of Bipolar Plasma Kinetic and Monopolar Transurethral Resection on the Incidence of Transurethral Resection Syndrome. Acad. Anesthesiol. Int. 2016;1(1):10-14.

ABSTRACT

Background: The study aims to compare bipolar PlasmaKinetic with monopolar transurethral resection of prostate (TURP) in terms of TUR syndrome and the amount of blood loss. Methods: We retrospectively investigated the medical records of fifty-five patients who underwent monopolar TURP (Group M, n=30) or bipolar PlasmaKinetic TURP (Group PK, n=25). Symptoms or signs of TUR syndrome, changes in hemoglobin, hematocrit, platelet, serum sodium, serum potassium and fasting blood glucose were compared between both groups. Results: Patient’s characteristics, the amount of irrigation fluid and operation time were comparable between the two groups. After the operation, hemoglobin values in group PK were higher than in group M (13.59±1.55 gr/dL vs. 12.25±1.6 gr/dL; P<0.05). Serum sodium in Group M decreased significantly after the operation (baseline 138.1±5.54 mEq/L vs. postoperative 133.87±8.26 mEq/L; P<0.05). TUR syndrome was diagnosed in 3 patients in Group M whereas it was not observed any of the patients in Group PK. Length of hospital stay were found significantly higher in Group M than in the group PK. Conclusion: Bipolar plasmaKinetic TURP is a safe method that provides less risk of TUR syndrome, shorter hospital stay, and less bleeding.

Keywords: Cautery, Prostate, Transurethral resection of prostate.

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