medigraphic.com

2016, Number 3

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2016; 54 (3)

Waist-hip ratio and perioperative bleeding in patients who underwent radical prostatectomy

León-Ramírez V, Santiago-López J, Reyes-Rivera JG, Miguel-Soto E

Language: Spanish
References: 18
Page: 297-303
PDF size: 292.17 Kb.


ABSTRACT

Background: Radical prostatectomy is associated with perioperative bleeding and multiple transfusions. Abdominal obesity is a perioperative risk factor. We suggest that the adipocytes have a protective effect in oncological patients undergoing radical prostatectomy. The aim was to evaluate the effect of waist-hip ratio (WHR) on the amount of bleeding and perioperative transfusion requirements in oncological patients undergoing radical prostatectomy.
Methods: We performed a cohort study in 156 patients. We had two groups: the control group (WHR ‹ 0.95) and the problem group (WHR ≥ 0.95). Blood loss and fractions transfused during surgery and in the postoperative period were recorded. In the analysis of variables, for descriptive statistics we used measures of central tendency and dispersion. Inferential statistics was obtained by chi square, Student’s t test, Mann- Whitney U and ANOVA. A p ‹ 0.05 was significant.
Results: We found significant differences in weight, body mass index, waist, WHR, perioperative bleeding, fractions transfused, permanence of the catheter, and hospital days.
Conclusion: Patients who underwent radical prostatectomy with a WHR ≥ 0.95 had a magnitude of perioperative bleeding and transfusion requirements with a WHR ‹ 0.95.


REFERENCES

  1. ElFadil MA, Ahmed IA, Ahmed MG, Saad MS, Bahar YM. Risk factors in prostatectomy bleeding: preoperative urinary infection is the only reversible factor. Eur Urol. 2000;37:199-204.

  2. Shrestha BM, Prasopshanti K, Mathanhelia SS, Peeling WB. Blood loss during and after transurethral resection of prostate: a prospective study. KUMJ. 2008;6(23):329-34.

  3. Al’-Shukri SKh, Goloshchapov ET, Lukichev GB. Application of fibrinolysis inhibitor tranexam in transurethral resection of the prostate. Urologiia. 2011;(2):41-3.

  4. Stav K, Rahimi-Levene N, Lindner A, Siegel YI, Zisman A. Retropubic radical prostatectomy: associated blood loss and transfusion requirements--a two-decade perspective review. Isr Med Assoc J. 2005;7(2):103-6.

  5. Ziegler S, Ortu A, Reale C, Proietti R, Mondello E, Tufano R, et al. Fibrinolysis or hypercoagulation during radical prostatectomy? An evaluation of thrombelastographic parameters and standard laboratory tests. Eur J Anaesthesiol. 2008;25(7):538-43.

  6. Moul JW, Sun L, Wu H, McLeod DG, Amling C, Lance R, et al. Factors associated with blood loss during radical prostatectomy for localized prostate cancer in the prostate-specific antigen (PSA)-era: an overview of the Department of Defense (DOD) Center for Prostate Disease Research (CPDR) national database. Urol Oncol. 2003;21(6):447-55.

  7. Nielsen JD, Gram J, Fabrin K, Holm-Nielsen A, Jespersen J. Lack of correlation between blood fibrinolysis and the immediate or post-operative blood loss in transurethral resection of the prostate. Br J Urol. 1997;80:889-93.

  8. Gempeler FE, Díaz L, Murcia PC. Evaluación de la coagulación en prostatectomía. Rev Col Anest. 2009;37(3):202-11.

  9. Tagawa ST, Dorff TB, Rochanda L, Ye W, Boyle S, Raghavan D, et al. Subclinical haemostatic activation and current surgeon volume predict bleeding with open radical retropubic prostatectomy. BJU Int. 2008;102(9):1086-91.

  10. Hahn R, Essen P. Blood coagulation status after transuretral resection of the prostate. Scand J Urol Nephrol. 1994;28:385-94.

  11. Özmen S, Kosar A, SayinA, Aydin C, Yavuz L. Effect of transurethral resection of the prostate on blood coagulation test results. Urologia Internationalis. 2003;70(1):27-30.

  12. Chang IH, Byun SS, Hong SK, Lee SE. Assessing the body mass index of patients might help to predict blood loss during radical retropubic prostatectomy in Korean men. BJU Int. 2007;99(3):570-4.

  13. Bosa OF, Brouard M, Jiménez JJ, Iribarren JL, Enjuanes GC, Ferrer HJ, et al. Índice de masa corporal y adipoquina como factores protectores del sangrado excesivo en el postoperatorio de cirugía cardiaca. Rev Esp Cardiol. 2008; 61 (suppl 3):1-207:46.

  14. Seidell JC, Pérusse L, Després JP, Bouchard C. Waist and hip circumference have independent and opposite effects on cardiovascular disease risk factors: The Quebec family study. Am J Clin Nutr. 2001;74:315-21.

  15. Cachofeiro V, Miana M, Martín FB, Heras N, Lahera Vl. Obesidad, inflamación y disfunción endotelial. Rev Esp Obes. 2006;4(4):195-204.

  16. Suemitsu R, Sakoguchi T, Morikawa K, Yamaguchi M, Tanaka H, Takeo S. Effect of Body Mass Index on Perioperative Complications in Thoracic Surgery. Asian Cardiovasc Thorac Ann. 2008;16:463-7.

  17. Wigfield CH, Lindsey JD, Muñoz A, Chopra PS, Edwards NM, Love RB. Is extreme obesity a risk factor for cardiac surgery? An analysis of patients with a BMI > or = 40. Eur J Cardiothorac Surg. 2006;29:434-40.

  18. Andrade SC, Sejnaui SJ, Caicedo CJ, Hernández GC, Villareal N, Garcia JC. Prostatectomía radical por laparoscopia: experiencia de 69 casos de un solo centro y factores predictivos para márgenes quirúrgicas positivas. Urol Colomb. 2011;20(1):35-43.




2020     |     www.medigraphic.com