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腹腔镜腹膜外阴道悬吊术的简化:两孔技术的结果

Simplification of laparoscopic extraperitoneal colposuspension: results of two-port technique.

作者信息

Batislam E, Germiyanoğlu C, Erol D

机构信息

Department of Urology University of Kirikkale, Faculty of Medicine, Turkey.

出版信息

Int Urol Nephrol. 2000;32(1):47-51. doi: 10.1023/a:1007143815433.

DOI:10.1023/a:1007143815433
PMID:11057772
Abstract

PURPOSE

The aims of the present prospective study were to apply a new simplification for Laparoscopic Burch Colposuspension and to assess the postoperative results of this treatment modality for stress urinary incontinence.

MATERIALS AND METHODS

Twenty-four patients underwent simplified laparoscopic procedure via two ports, utilising endoscopic tacker and two stripes of prolene mesh. Patients were evaluated for operative time, duration of urethral catheter, length of hospital stay, complications and continence status.

RESULTS

The technique was successful in 21 patients after 24 months follow-up. Average operative time was 39 minutes. The lengths of urethral catheterisation and hospital stay were 22 and 45 hours, respectively. One operative complication and three postoperative recurrences were recorded.

CONCLUSION

Laparoscopic bladder neck suspension continues to develop as the instruments and techniques are improved. In carefully evaluated patients, it provides safe and minimally invasive procedure. We report the results of a new technique to simplify and speed up a laparoscopic extraperitoneal colposuspension.

摘要

目的

本前瞻性研究的目的是对腹腔镜Burch阴道悬吊术应用一种新的简化方法,并评估这种治疗压力性尿失禁的方式的术后结果。

材料与方法

24例患者通过两个端口接受了简化的腹腔镜手术,使用了内镜钉合器和两条聚丙烯网带。对患者的手术时间、导尿管留置时间、住院时间、并发症和控尿状态进行了评估。

结果

经过24个月的随访,该技术在21例患者中取得成功。平均手术时间为39分钟。导尿管留置时间和住院时间分别为22小时和45小时。记录到1例手术并发症和3例术后复发。

结论

随着器械和技术的改进,腹腔镜膀胱颈悬吊术不断发展。在经过仔细评估的患者中,它提供了安全且微创的手术。我们报告了一种简化并加速腹腔镜腹膜外阴道悬吊术的新技术的结果。

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引用本文的文献

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