Early and late complications of open access adenomectomy for large bph

The main problem of open access adenomectomy is the occurrence of intra- and postoperative bleeding, the frequency of which varies from 0.2 % to 10 %, and the volume of blood loss can reach 2–2.5 liters, especially with large sizes of BPH (more than 80 cm3). The frequency of blood transfusions in open enucleation of the prostate gland is 7–14 %. The occurrence of bleeding during surgery and after removal of adenomatous nodes slows down the tissue healing processes in the postoperative period, often requires transfusion of red blood cells and fresh frozen plasma, contributes to decompensation  of the patients‘ concomitant pathology, which increases the duration of inpatient treatment.

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