Rouzier R, Girousse A, Barakat S, Muray J M
Service de Gynécologie-Obstétrique, Hôpital René-Dubos, Pontoise.
J Gynecol Obstet Biol Reprod (Paris). 1997;26(8):809-14.
Vaginal cure of genitourinary prolapses is a reliable technique. We propose a technical simplification: the use of the laparoscopic suturing instrument Endo Stitch. Bladder neck suspension can be performed in this way without supra-pubic incision. Sacrospinous suspension is sometimes difficult with a risk of sciatic nerve, pudendal artery or rectum trauma. This is also performed more easily using Endo Stitch.
Twenty patients with genitourinary prolapse were treated by one surgeon using the Endo Stitch. The patients were followed for 6 to 18 months.
No per- or postoperative complications attributable to the use of Endo Stitch were encountered. With two recurrent genital prolapses and one persistent urinary stress incontinence, anatomic and functional results seem to be similar to reference series, but must be confirmed with more follow-up.
阴道修复泌尿生殖系统脱垂是一种可靠的技术。我们提出一种技术简化方法：使用腹腔镜缝合器械Endo Stitch。通过这种方式可在不做耻骨上切口的情况下进行膀胱颈悬吊术。骶棘韧带悬吊术有时操作困难，存在坐骨神经、阴部动脉或直肠损伤风险。使用Endo Stitch进行该手术也会更容易。
一名外科医生使用Endo Stitch对20例泌尿生殖系统脱垂患者进行治疗。对患者进行了6至18个月的随访。
未出现因使用Endo Stitch导致的术中或术后并发症。有2例复发性生殖器脱垂和1例持续性尿失禁，解剖学和功能学结果似乎与参考系列相似，但必须通过更多随访加以证实。
