Karabacak O, Taner M Z, Tiras M B, Kaya A, Guner H, Yildirim M
Department of Obstetrics and Gynecology, Gazi University Medical Faculty, Besevler, Ankara, Turkey.
J Laparoendosc Surg. 1996 Feb;6(1):65-8. doi: 10.1089/lps.1996.6.65.
A new laparoscopic Burch procedure with preperitoneal balloon dissection is introduced. A stress incontinence case without cystocele was operated by laparoscopic extraperitoneal colposuspension. The procedure was found to be effective a year after and no complications were seen. The extraperitoneal Burch procedure has the advantages of easy dissection, less bleeding, pain, and adhesion formation, a lower chance of injury to intraperitoneal organs, and short hospital stay and operation time; but the procedure has the disadvantages of a new anatomy orientation and the additional cost of a disposable balloon dissection set.
介绍了一种新的采用腹膜前球囊分离术的腹腔镜Burch手术。对一例无膀胱膨出的压力性尿失禁病例实施了腹腔镜腹膜外阴道悬吊术。术后一年发现该手术有效，且未见并发症。腹膜外Burch手术具有分离容易、出血少、疼痛轻、粘连形成少、腹腔内器官损伤几率低、住院时间和手术时间短等优点；但该手术存在解剖定位新以及一次性球囊分离套件额外费用的缺点。
