Ways to reduce complications during open adenomectomy in patients with BPH using modified removable sutures

B. Botalaev; A. Usupbaev; M. Abdykalykov; T. Zhumagaziev; M. Mailubashev

doi:10.26641/2307-0404.2025.3.340756

Authors

B. Botalaev Kyrgyz State Medical Academy named after I.K. Akhunbaev, Togolok Moldo str., 1, Bishkek, 720017, Kyrgyzstan https://orcid.org/0009-0009-2442-2674
A. Usupbaev Kyrgyz State Medical Academy named after I.K. Akhunbaev, Togolok Moldo str., 1, Bishkek, 720017, Kyrgyzstan https://orcid.org/0009-0000-3521-8913
M. Abdykalykov Kyrgyz State Medical Institute for Retraining and Advanced Training named after S.B. Daniyarova, J. Bokonbaev str., 144A, Bishkek, 720017, Kyrgyzstan https://orcid.org/0009-0008-5292-7250
T. Zhumagaziev Kyrgyz State Medical Institute for Retraining and Advanced Training named after S.B. Daniyarova, J. Bokonbaev str., 144A, Bishkek, 720017, Kyrgyzstan https://orcid.org/0009-0005-9110-647X
M. Mailubashev Kyrgyz State Medical Institute for Retraining and Advanced Training named after S.B. Daniyarova, J. Bokonbaev str., 144A, Bishkek, 720017, Kyrgyzstan https://orcid.org/0009-0002-6309-7260

DOI:

https://doi.org/10.26641/2307-0404.2025.3.340756

Keywords:

open adenomectomy, blood loss, complications, modified removable sutures, benign prostatic hyperplasia

Abstract

The study was aimed at evaluating the effectiveness of using a modified removable purse-string suture with polyurethane tubing to reduce complications after transvesical adenomectomy in patients with benign prostatic hyperplasia. A total of 60 patients participated in the study. They were distributed into two groups: 30 patients in the main group, where the improved method using a polyurethane tube was used, and 30 patients in the control group, where the standard technique without removable suture was used. The comparison showed that in the main group, the average volume of blood loss in the first 48 hours was 240 [200-280] ml, which was significantly less than in the control group, where it reached 385 [320-450] ml (p<0.05). Furthermore, in patients of the main group, the haemoglobin level on the first day after surgery was higher – 112.3 [103.9-120.7] g/l compared to 104.5 [96.9-112.1] g/l in the control group (p<0.05). This indicated better control of blood loss. The incidence of complications such as bleeding and inflammation was lower in the main group, 6% versus 20% in the control group (p<0.05). Additionally, the level of C-reactive protein on the third day after surgery in the main group was 12.3 [10.1-14.5] mg/l, while in the control group, it was significantly higher – 17.6 [14.1-21.1] mg/l (p<0.05). Thus, the use of removable purse-string suture with polyurethane tube demonstrated its effectiveness in reducing blood loss and complication rate, providing better recovery after surgery in patients with benign prostatic hyperplasia. The findings demonstrate that the use of a modified removable purse-string suture with polyurethane tubing effectively reduces blood loss, enhances haemostasis, and lowers the incidence of postoperative complications in patients undergoing transvesical adenomectomy for benign prostatic hyperplasia. Additionally, this technique contributes to a shorter recovery period and improved haemoglobin levels, indicating better overall postoperative outcomes.

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