Prostatectomy - Revision history

Blainesa: Added to the list of symptoms in the setting of various irrigating solutions

2023-02-03T23:09:29Z

Added to the list of symptoms in the setting of various irrigating solutions

← Older revision		Revision as of 16:09, 3 February 2023
Line 96:		Line 96:
	* TURP syndrome		* TURP syndrome
	** Symptoms: N/V, visual disturbances, AMS, coma, seizures, HTN, cardiovascular collapse		** Symptoms: N/V, visual disturbances, AMS, coma, seizures, HTN, cardiovascular collapse
	*** Sodium <120 is associated with more severe symptoms		*** Can vary depending on irrigant used:
			****Glycine is metabolized to ammonia and can be associated with encephalopathy. It can also be associated with visual disturbances due to the inhibitory effect of glycine on brainstem neurons.
			****Sorbitol can lead to hyperglycemia
			****Hypotonic fluids can lead fluid overload, HTN, pulmonary edema, hyponatremia and hemolysis
			***Sodium <120 is associated with more severe symptoms
	** Pathophysiology: Intravascular volume overload due to absorption of irrigant resulting in hyponatremia and hypotonicity		** Pathophysiology: Intravascular volume overload due to absorption of irrigant resulting in hyponatremia and hypotonicity
	** Risks: increased hydrostatic pressure of irrigant, number of venous sinuses opened, duration of surgery, experience of surgeon, peripheral venous pressure		** Risks: increased hydrostatic pressure of irrigant, number of venous sinuses opened, duration of surgery, experience of surgeon, peripheral venous pressure
	*** resections should be optimally limited to <1h		*** resections should be optimally limited to <1h
	** Treat: may use diuresis (~~lasix~~) and hypertonic saline		** Treat: may use diuresis (e.g., furosemide) and hypertonic saline
	* Risks of lithotomy position:		* Risks of lithotomy position:
	** Peroneal nerve compression at lateral fibular head > foot drop		** Peroneal nerve compression at lateral fibular head > foot drop

Chris.Rishel: Text replacement - "|Respiratory" to "|Pulmonary"

2022-02-22T05:43:39Z

Text replacement - "|Respiratory" to "|Pulmonary"

← Older revision		Revision as of 22:43, 21 February 2022
Line 26:		Line 26:
	\|HTN, CAD common in this age group. Assess exercise tolerance.		\|HTN, CAD common in this age group. Assess exercise tolerance.
	\|-		\|-
	\|~~Respiratory~~		\|Pulmonary
	\|COPD is more common in this age group, consider preop testing as guided by H&P including smoking history and symptoms.		\|COPD is more common in this age group, consider preop testing as guided by H&P including smoking history and symptoms.
	\|-		\|-

Oliviamsutton: filled out article

2021-06-27T02:34:53Z

filled out article

Show changes

Oliviamsutton: Started article with template and intro

2021-06-27T02:09:55Z

Started article with template and intro

New page

{{Infobox surgical case reference
| anesthesia_type =
| airway =
| lines_access =
| monitors =
| considerations_preoperative =
| considerations_intraoperative =
| considerations_postoperative =
}}

Prostate resection can be performed for benign conditions, such as urinary retention, as well as prostate cancer or other cancers of the pelvis. The procedure can be performed open, laparoscopically, robotically, or through the urethra (TURP).

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Respiratory
|
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===

=== Operating room setup ===

=== Patient preparation and premedication ===

=== Regional and neuraxial techniques ===

== Intraoperative management ==

=== Monitoring and access ===

=== Induction and airway management ===

=== Positioning ===

=== Maintenance and surgical considerations ===

=== Emergence ===

== Postoperative management ==

=== Disposition ===

=== Pain management ===

=== Potential complications ===

== Procedure variants ==

{| class="wikitable"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Position
|
|
|-
|Surgical time
|
|
|-
|EBL
|
|
|-
|Postoperative disposition
|
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

== References ==

[[Category:Surgical procedures]]