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    Openprostatectomytray 190609193828

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    Fadly Syifa
    This document discusses different types of prostatectomies, which are surgical procedures to remove part or all of the prostate gland. It describes simple and radical prostatectomies. Radical prostatectomy involves removing the entire prostate gland and surrounding tissues for malignant cancer. The document outlines different approaches for radical prostatectomy, including radical perineal, supra pubic, and retro pubic. It also discusses TURP for treating benign prostatic hyperplasia. Surgical instruments used in prostatectomies are provided.

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    Openprostatectomytray 190609193828

    Uploaded by

    Fadly Syifa
    21 views29 pages
    This document discusses different types of prostatectomies, which are surgical procedures to remove part or all of the prostate gland. It describes simple and radical prostatectomies. Radical prostatectomy involves removing the entire prostate gland and surrounding tissues for malignant cancer. The document outlines different approaches for radical prostatectomy, including radical perineal, supra pubic, and retro pubic. It also discusses TURP for treating benign prostatic hyperplasia. Surgical instruments used in prostatectomies are provided.

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    Open prostaktomi

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    openprostatectomytray-190609193828

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    This document discusses different types of prostatectomies, which are surgical procedures to remove part or all of the prostate gland. It describes simple and radical prostatectomies. Radical prostatectomy involves removing the entire prostate gland and surrounding tissues for malignant cancer. The document outlines different approaches for radical prostatectomy, including radical perineal, supra pubic, and retro pubic. It also discusses TURP for treating benign prostatic hyperplasia. Surgical instruments used in prostatectomies are provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views29 pages

    Openprostatectomytray 190609193828

    Uploaded by

    Fadly Syifa
    This document discusses different types of prostatectomies, which are surgical procedures to remove part or all of the prostate gland. It describes simple and radical prostatectomies. Radical prostatectomy involves removing the entire prostate gland and surrounding tissues for malignant cancer. The document outlines different approaches for radical prostatectomy, including radical perineal, supra pubic, and retro pubic. It also discusses TURP for treating benign prostatic hyperplasia. Surgical instruments used in prostatectomies are provided.

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    LECTURER:UMAR TARIQ

    MSC OTT/ANAESTHESIA
     Surgical removal of all or part of the
    prostate gland. This operation is done for
    benign conditions that cause urinary
    retention, as well as for prostate cancer and
    for other cancers of the pelvis.

     There are two main types of


    prostatectomies
    1. SIMPLE PROSTATECTOMY
    2. RADICAL PROSTATECTOMY
     Also known as subtotal
    prostatectomy
     Involves the removal of only part of
    the prostate.
     Used only for benign conditions.
     Removal of the entire prostate gland ,
    the seminal vessels and the vas
    deferens, is performed for malignant
    cancer
     There are multiple ways the operation
    can be done
    1. RADICAL PERINEAL: is a surgical procedure wherein the
    prostate gland is removed through an incision in the area
    between anus and scrotum(perineum). It is typically
    performed to remove early prostate cancer.
    2. SUPRA PUBIC PROSTATECTOMY: is a surgical procedure
    wherein the prostate gland is removed through an incision
    in the lower abdomen , above pubic bone. An incision is
    made in the bladder and centre of the prostate gland is
    removed.
    3. RETRO PUBIC: through an incision made in the wall of the
    lower abdomen to remove part or all of the prostate and
    some of the tissue around it .Nearby lymph nodes may also
    be removed.
    4. TURP: is a surgical procedure that involves cutting away a
    section of a prostate. Resectoscope is inserted through the
    tip of penis and into the urethra. it is used to treat benign
    prostatic hyperplasia.
     Judd Masson retractor
     6 –Allis forceps.
     6- Babcock forceps.
     4 – Lahey`s forceps
     2- Needle holders.
     Boomerang suture passer.
     Prostatic lobe forceps.
     Metzenbaum scissors.
     Jorgenson scissor.
     Hemoclip applier.
     FOR SUPRAPUBIC ADD
    Jacobsen bladder retractor
     FOR RETROPUBIC ADD
    Millin bacon retropubic prostatic bladder retractor
     FOR PERINEAL
    Denis Browne perineal self retaining retractor
     It is self retaining retractor.
     Used to widen the surgical field.
     Used to retract abdominal organs
    like urinary bladder in urology
    procedures.
     Mainly used in prostatectomy.
     Surgical scissor with long handle
    and curved blade.
     Used for cutting deep tissues
    within the body as in hysterectomy
     Also used in prostatectomy.
     Used to apply metal clips onto blood
    vessels and ducts which will remain
    occluded .
     Ratchet locks are not present

     Also called ligating clip appliers.


     Hemoclip appliers are available in a
    variety of jaw types, applier lengths
    and tip angles
     Used to hold the needle while
    driving suture.
     The spring handle allows for
    different size needles for suturing.
     Available with spare needles in
    small , medium and large sizes.
     Used to locate the obstructions in
    the urethra.
     Used in urological surgery for
    dilation of strictures or for
    obtaining access to the bladder

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