The Journal of urology
The most recent articles from:
J. Urol.
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The Journal of urology · Jul 2015
Randomized Controlled TrialThe Impact of Pelvic Venous Pressure on Blood Loss during Open Radical Cystectomy and Urinary Diversion: Results of a Secondary Analysis of a Randomized Clinical Trial.
Blood loss and blood substitution are associated with higher morbidity after major abdominal surgery. During major liver resection low local venous pressure decreases blood loss. Ambiguity persists concerning the impact of local venous pressure on blood loss during open radical cystectomy. We determined the association between intraoperative blood loss and pelvic venous pressure as well as factors affecting pelvic venous pressure. ⋯ Blood loss was significantly decreased in patients with low pelvic venous pressure. Factors affecting pelvic venous pressure were fluid management and abdominal packing.