A. D'Addessi et al., Haemodynamic changes detected during open prostatectomy and transurethral resection for benign prostatic hyperplasia, SC J UROL N, 33(3), 1999, pp. 176-180
To detect possible intraoperative haemodynamic differences, 60 patients und
ergoing transurethral (n = 18) or open prostatectomy (n = 42) for benign pr
ostatic hyperplasia were evaluated. The same type of general anaesthesia wa
s used in the two groups. Data, including temperature and cardiac output, w
ere collected at Eve standard times during the procedures. No significant d
ifferences were found between the two groups. However, in all patients, irr
espective of the operation, significant decreases in cardiac output and inc
reases in systemic resistance occurred during surgery. Body temperature sho
wed a mild, insignificant decrease, which may play a role in determining th
e mild haemodynamic derangement observed in all patients. Our patients subj
ected to open prostatectomy and transurethral resection presented the same
kind of haemodynamic derangement, with no significant differences. Therefor
e it seems unlikely that the kind of surgery could play a relevant role in
the late mortality rate of these patients.