von Theobald P, Barjot P, Liegeois P, Herlicoviez M, Levy G
Service de Gynécologie-Obstétrique, CHRU de Caen.
Presse Med. 1994 Sep 24;23(28):1301-3.
The Burch technique is the reference method for the treatment of exertion incontinence related to cervicocystoptosis. We present an original laparoscopic technique equivalent to the classical open approach. This technique is particularly interesting because a wide pneumoretzius allows adequate access for instruments without being hindered by intestinal loops and the free border of the bladder. Suspension is achieved with non-absorbable mesh bands which are attached to the vagina and Cooper ligaments with staples. The anchoring point is thus larger and the space remains blood free. Fifty nine operations were performed with this technique at the Department of Gynaecology of the University Hospital at Caen, France. No failures have been observed.
伯奇手术是治疗与宫颈膀胱脱垂相关的压力性尿失禁的参考方法。我们提出了一种与传统开放手术等效的原创腹腔镜技术。这项技术特别有趣，因为宽大的气腹可以为器械提供足够的操作空间，而不会受到肠袢和膀胱游离缘的阻碍。使用不可吸收网状带通过吻合钉固定在阴道和库珀韧带上实现悬吊。因此，固定点更大且该区域无血。法国卡昂大学医院妇科使用该技术进行了59例手术，未观察到失败病例。
