Negură A, Marderos G G, Marderos G H, Zanoschi C
Institut de Médecine et de Pharmacie de Iassy, Roumanie.
Rev Fr Gynecol Obstet. 1989 Dec;84(12):941-3.
The authors studied the topographical anatomy of the areas involved in urethro-vesical suspension, type Burch, in 25 female cadavers. They notice that, with the Burch procedure, the specific haemorrhagic risks are represented by lesions of the external iliac vein and sometimes lesions of the anastomosis between epigastric and obturator artery, which may be caused when the needle goes through the most lateral portion of Cooper's ligament, if this needle is directed upwards and outwards.
作者对25具女性尸体中涉及Burch式尿道膀胱悬吊术的相关区域进行了局部解剖学研究。他们注意到,在Burch手术中,特定的出血风险表现为髂外静脉损伤,有时还表现为腹壁下动脉与闭孔动脉吻合处的损伤,当针穿过Cooper韧带最外侧部分(如果该针向上和向外指向)时可能会导致这些损伤。