Pelosi M A, Papasakelariou C, Pelosi M A
Pelosi Women's Medical Center, Bayonne, NJ 07002, USA.
J Am Assoc Gynecol Laparosc. 1998 May;5(2):179-82. doi: 10.1016/s1074-3804(98)80087-x.
A series of 63 women with anatomic stress urinary incontinence were treated at two institutions by laparoscopic urethrovesical suspension with vaginal transillumination of the paraurethral endopelvic fascia to facilitate laparoscopic dissection and ligature carrier and suture needle placement. In no case did illumination-assisted suture placement require suture removal or replacement for inadequate or traumatic placement within the bladder, or was it associated with hemorrhage. At a minimum of 2 years' follow-up, there were six treatment failures. The reusable illuminator enhances visual contrast between the pelvic floor and bladder neck for laparoscopic dissection and paraurethral needle placement. It also provides an effective backstop to the needle, eliminates needle injuries to operators' fingers during suturing, stabilizes the endopelvic fascia during dissection, and increases visual contrast between the bladder neck and adjacent endopelvic fascia.
在两家机构，对63例患有解剖性压力性尿失禁的女性患者进行了腹腔镜尿道膀胱悬吊术治疗，通过阴道透照耻骨后盆腔筋膜以辅助腹腔镜下解剖以及放置结扎器和缝合针。在任何情况下，光照辅助缝合放置均无需因膀胱内放置不当或造成创伤而移除或更换缝线，也未出现出血情况。在至少2年的随访中，有6例治疗失败。这种可重复使用的照明器可增强盆底与膀胱颈之间的视觉对比度，便于腹腔镜解剖和耻骨后针刺放置。它还为针提供了有效的支撑，消除了缝合过程中针对手指的损伤，在解剖过程中稳定盆腔筋膜，并增加膀胱颈与相邻盆腔筋膜之间的视觉对比度。
