Bassaly Renee, McCullough Mona, Hussamy Deana, Downes Katheryne, Hoyte Lennox, Hart Stuart
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, USA.
Surg Technol Int. 2012 Dec;22:189-94.
The purpose of this study is to report on the surgical preferences of international surgeons in the performance of the sacrocolpopexy procedure. Invitations to complete this Internet-based survey were sent to 2,854 International Urogynecological Association (IUGA) members from December 2010 through February 2011. Questions were related to various aspects of the surgeons' techniques and preferences in the performance of a sacrocolpopexy procedure by the abdominal, laparoscopic, and robotic routes. Descriptive statistics are reported. A total of 235 members from six continents completed the survey. Ninety percent of the respondents perform sacrocolpopexy procedures in their practices, including abdominal (n = 177), laparoscopic (n = 92), and robotic (n = 48) procedures. Participants reported reduced blood loss, shorter hospitalization, and longer operative time during laparoscopic and robotic procedures compared with open abdominal sacrocolpopexy, but no differences were reported in overall major complications. Overall, surgical preferences and techniques of international surgeons for sacrocolpopexy were similar among responders, regardless of the surgical route performed.
本研究的目的是报告国际外科医生在骶骨阴道固定术操作中的手术偏好。从2010年12月至2011年2月,向2854名国际尿控协会(IUGA)成员发送了完成这项基于互联网调查的邀请。问题涉及外科医生通过腹部、腹腔镜和机器人手术路径进行骶骨阴道固定术操作的技术和偏好的各个方面。报告了描述性统计数据。来自六大洲的235名成员完成了调查。90%的受访者在其临床实践中进行骶骨阴道固定术,包括腹部手术(n = 177)、腹腔镜手术(n = 92)和机器人手术(n = 48)。与开放性腹部骶骨阴道固定术相比,参与者报告腹腔镜和机器人手术期间出血量减少、住院时间缩短和手术时间延长,但在总体主要并发症方面没有差异。总体而言,无论采用何种手术路径,国际外科医生在骶骨阴道固定术方面的手术偏好和技术在受访者中是相似的。