Sanses Tatiana V D, Grimes Cara L, Hoskey Kay A, Russo Melissa L, Melick Clifford F, Blomquist Joan, Ellerkmann R Mark
Greater Baltimore Medical Center, Baltimore, MD; †Department of Obstetrics and Gynecology, University of Maryland Medical Center, Baltimore, MD.
Female Pelvic Med Reconstr Surg. 2010 Jul;16(4):238-41. doi: 10.1097/SPV.0b013e3181dffea9.
: To compare perioperative outcomes of a retropubic synthetic midurethral Gynecare TVT slings (Gynecare Worldwide, division of Ethicon Inc, NJ) performed by urogynecologists, urologists, and general gynecologists.
: This is a retrospective, cohort study of retropubic synthetic midurethral Gynecare TVT sling outcomes performed between 2001 and 2007 at a single institution. Other synthetic and nonsynthetic slings, or slings performed with concurrent surgeries were excluded. The primary outcomes were mean sling operating room (OR) time in minutes (min) and estimated blood loss in milliliters (mL). All variables were stratified by the surgeon's specialty: urogynecology (URO-GYN), urology (URO), and general gynecology (GYN).
: Of 279 Gynecare TVT sling procedures, 126 were performed by URO-GYN, 30 by URO, and 123 by GYN. Mean sling OR time was 38.8 ± 8.5 minutes for URO-GYN, 42.6 ± 11.2 minutes for URO, and 39.8 ± 14.3 minutes for GYN, P = 0.30. Estimated blood loss was 56.6 ± 68.3 mL for URO-GYN, 69.7 ± 82.6 mL for URO, and 68.8 ± 73.4 mL for GYN, P = 0.37. The intraoperative complications (bladder, urethral perforations, and hemorrhage) were similar among the specialties. In the postoperative period, there was no difference in subsequent need for urethrolysis (cutting or removal of the sling), return to OR, and readmission to the hospital after the procedure among all 3 specialties.
: All 3 specialties (urogynecologist, urologists, and general gynecologists) had similar major perioperative outcomes in performing retropubic synthetic midurethral Gynecare TVT slings.
比较由泌尿妇科医生、泌尿科医生和普通妇科医生实施耻骨后合成材料阴道无张力尿道中段悬吊带术（Gynecare TVT悬吊带，Gynecare全球公司，强生公司Ethicon分公司，新泽西州）的围手术期结果。
这是一项对2001年至2007年在单一机构进行的耻骨后合成材料阴道无张力尿道中段Gynecare TVT悬吊带术结果的回顾性队列研究。排除其他合成和非合成悬吊带，或同时进行其他手术时实施的悬吊带。主要结果是悬吊带手术平均手术室（OR）时间（分钟）和估计失血量（毫升）。所有变量按外科医生专业分层：泌尿妇科（URO - GYN）、泌尿科（URO）和普通妇科（GYN）。
在279例Gynecare TVT悬吊带手术中，126例由泌尿妇科医生实施，30例由泌尿科医生实施，123例由普通妇科医生实施。泌尿妇科医生的悬吊带平均手术室时间为38.8±8.5分钟，泌尿科医生为42.6±11.2分钟，普通妇科医生为39.8±14.3分钟，P = 0.30。估计失血量泌尿妇科医生为56.6±68.3毫升，泌尿科医生为69.7±82.6毫升，普通妇科医生为68.8±73.4毫升，P = 0.37。各专业术中并发症（膀胱、尿道穿孔和出血）相似。术后，三个专业在后续尿道松解术（切断或移除悬吊带）的需求、返回手术室以及术后再次入院方面没有差异。
所有三个专业（泌尿妇科医生、泌尿科医生和普通妇科医生）在实施耻骨后合成材料阴道无张力尿道中段Gynecare TVT悬吊带术时，主要围手术期结果相似。
