Gill F, Enzelsberger H
Gynäkologisch-Geburtshilfliche Abteilung, St. Josef-Krankenhaus, Wien.
Gynakol Geburtshilfliche Rundsch. 1996;36(2):75-8. doi: 10.1159/000272626.
It is the therapeutical aim of urogynecology to correct urinary incontinence. Which advantages offers the use of the Endo-Stitch needle in Burch's pelviscopic colposuspension?
When extending the field of pelviscopic surgery, in a prospective study we performed Burch's pelviscopic preperitoneal colposuspension using the disposable Endo-Stitch suture instrument in 12 patients with stress incontinence grades 2 or 3. Clinical and urodynamic evaluations were performed before and 8.5 months after the pelviscopic operation.
Clinical and urodynamic follow-up examinations revealed continence in 10 (83%) out of 12 patients.
Our preliminary experience suggests that the pelviscopic incontinence operation by means of the Endo-Stitch needle is a good alternative to abdominal colposuspension. Follow-up results of a large number of patients will have to prove advantages in contrast to conservative surgery.
纠正尿失禁是女性盆底重建外科学的治疗目标。在Burch耻骨后膀胱颈悬吊术中使用Endo-Stitch针有哪些优势？
在扩大盆腔镜手术范围时，我们进行了一项前瞻性研究，对12例2级或3级压力性尿失禁患者使用一次性Endo-Stitch缝合器械进行Burch耻骨后腹膜前膀胱颈悬吊术。在盆腔镜手术前和术后8.5个月进行临床和尿动力学评估。
临床和尿动力学随访检查显示，12例患者中有10例（83%）实现了控尿。
我们的初步经验表明，通过Endo-Stitch针进行的盆腔镜下尿失禁手术是腹部膀胱颈悬吊术的良好替代方案。与保守手术相比，大量患者的随访结果将证明其优势。
