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Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3,885 patients.

The mortality rate for transurethral prostatectomy was 0.2 per cent in 3,885 patients reviewed retrospectively. The immediate postoperative morbidity rate was 18 per cent. Increased morbidity was found in patients with a resection time of more than 90 minutes, gland size of more than 45 gm., acute urinary retention and patient age greater than 80 years, and in the black population. Of the patients 77 per cent had significant pre-existing medical problems. Operative mortality, significant morbidity and hospital stay were reduced in comparison to studies done 15 and 30 years ago.

Age Factors↗

Central cord syndrome as a delayed postoperative complication of decompressive laminectomy.

We report five cases of a central cord syndrome that appeared as a delayed surgical complication several days after decompressive laminectomy with the patient in the sitting position. Some episode of abnormal positioning of the neck or hypotension seems to have triggered the central cord syndrome. The patients improved slowly, but did not return to their immediate postoperative status. This complication probably can be avoided with careful mobilization after operation, with the avoidance of hypotension, and with the use of a firm collar during the first few postoperative days.

Aged↗