Lam A M, Jenkins G J, Hyslop R S
Strathfield Private Hospital, Sydney, NSW.
Med J Aust. 1995 Jan 2;162(1):18-21. doi: 10.5694/j.1326-5377.1995.tb138404.x.
To assess the safety, effectiveness and potential benefits of laparoscopic Burch colposuspension.
Non-randomised prospective study.
Fifteen women, presenting consecutively with urodynamically confirmed urinary stress incontinence.
The operation was successfully completed with no perioperative morbidity in 14 women. One woman subsequently underwent laparotomy after injury to the inferior epigastric artery. The average duration of surgery was 110 minutes, postoperative catheterisation 30 hours, and hospital stay 2.3 days. There was little postoperative discomfort. Most women were able to return to normal activities within one to two weeks. At follow-up (6 weeks-9 months) all the women were continent.
Laparoscopic Burch colposuspension is a safe and feasible alternative to the open technique. Early results show the benefits of easy access to the cave of Retzius, a clear view of the operating field, minimal intraoperative blood loss, shortened postoperative catheterisation and hospitalisation times, little postoperative pain and early return to normal lifestyle.
评估腹腔镜下Burch阴道悬吊术的安全性、有效性及潜在益处。
非随机前瞻性研究。
15例经尿动力学证实为压力性尿失禁的女性患者，连续入组。
14例女性患者手术成功完成，围手术期无并发症发生。1例女性患者因下腹壁动脉损伤，随后接受了剖腹手术。平均手术时间为110分钟，术后留置导尿管30小时，住院时间2.3天。术后不适轻微。大多数女性患者在1至2周内能够恢复正常活动。随访（6周 - 9个月）时，所有女性患者均无尿失禁。
腹腔镜下Burch阴道悬吊术是开放性手术的一种安全可行的替代方法。早期结果显示该手术具有以下优点：易于进入Retzius间隙，手术视野清晰，术中出血少，术后留置导尿管和住院时间缩短，术后疼痛轻微，能早期恢复正常生活方式。
