Korean J Anesthesiol.  1998 Jan;34(1):92-97. 10.4097/kjae.1998.34.1.92.

Coagulopathies in Transurethral Resection of Prostate Spinal versus General Anesthesia

• Shin O
• Seo J
• Kwon M
• Kim J

• KMID: 2032348
• DOI: http://doi.org/10.4097/kjae.1998.34.1.92

Abstract

BACKGROUND
Unexpected and uncontrolled bleeding remains the principal fear of the surgeon performing transurethral resection of prostate (TURP). Many surgeons and anesthesiologists believe the spinal anesthesia reduces blood loss during TURP. This study evaluate the effects of spinal versus general anesthetic technique on the development of postoperative coagulopathies.
METHODS
20 patients undergoing TURP were randomly allocated into 2 groups. Group I (n=10) received general anesthesia and group II (n=10), spinal anesthesia. PT (prothrombin time), PTT (partial thromboplstin time), Hb (hemoglobin), FDP (fibrin degradation product), platelet and fibrinogen were measured before induction and 24 hours postoperatively.
RESULTS
There was no significant difference in measured coagulation variables between the two groups, but there was significant decrease in postoperative Hb compared to preoperative values in both groups and the effect was more pronounced in the general anesthesia than in the spinal anethesia group.
CONCLUSION
It is concluded that coagulopathies after TURP is not affected by the anesthetic technique.

Keyword

Anesthesia: general; spinal; Surgery: transurethral resection of prostate

MeSH Terms

Anesthesia, General*
Anesthesia, Spinal
Blood Platelets
Fibrinogen
Hemorrhage
Humans
Transurethral Resection of Prostate*
Fibrinogen