一种新技术与Deschamps结扎器用于骶棘韧带固定的比较。
Comparison of a new technique with Deschamps ligature carrier for sacrospinous ligament fixation.
作者信息
Aksakal Orhan Seyfi, Ozyer Sebnem Sen, Güngör Tayfun, Doğanay Melike, Bilge Umit, Mollamahmutoğlu Leyla
机构信息
Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.
出版信息
Arch Gynecol Obstet. 2007 Dec;276(6):591-4. doi: 10.1007/s00404-007-0377-6. Epub 2007 May 10.
OBJECTIVE
A new technique for sacrospinous ligament fixation, which allows rapid and safe suture placement and automatic suture retrieval, is described and compared with Deschamps ligature carrier.
METHOD
Sacrospinous ligament fixation was performed by Deschamps ligature carrier over 30 patients and the new procedure was applied over 27 patients. Patients were evaluated with respect to the operative time, blood loss and complications.
RESULT
For the control group, it took 795 +/- 190.8 (480-1200) s for the placement of sutures. For the study group, it was 48.66 +/- 14.0 (32-90) s. Significant difference was found between the two groups in terms of time spent for suture placement, being shorter in the study group in which the new technique was used.
CONCLUSION
The instrument described here seems to improve suture placement and retrieval during sacrospinous ligament fixation. It avoids the need for retractors reducing the risk of damage to the vessels and nerves in the area. It offers a quick and easy way of performing sacrospinous ligament fixation.
目的
描述一种用于骶棘韧带固定的新技术，该技术可实现快速、安全地放置缝线并自动回收缝线，并与德尚结扎器进行比较。
方法
使用德尚结扎器对30例患者进行骶棘韧带固定，对27例患者应用新方法。对患者的手术时间、失血量和并发症进行评估。
结果
对照组放置缝线耗时795±190.8（480 - 1200）秒。研究组为48.66±14.0（32 - 90）秒。两组在缝线放置时间方面存在显著差异，使用新技术的研究组时间更短。
结论
此处描述的器械似乎可改善骶棘韧带固定过程中的缝线放置和回收。它无需牵开器，降低了该区域血管和神经受损的风险。它提供了一种快速简便的骶棘韧带固定方法。
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