The Journal of the American Association of Gynecologic Laparoscopists · 2001
Extraperitoneal approach to laparoscopic Burch colposuspension.
СтатьяНазвание и аннотация: Перевод в очереди
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Lee C L, Yen C F, Wang C J, Jain S, Soong Y K
Аннотация
STUDY OBJECTIVE: To evaluate 3-year outcomes of extraperitoneal laparoscopic colposuspension in treating genuine stress incontinence.
DESIGN: Retrospective review (Canadian Task Force classification II-2).
SETTING: University-based, tertiary-level center for endoscopic surgery.
PATIENTS: One hundred sixty women with genuine stress incontinence with bladder neck hypermobility.
INTERVENTION: Extraperitoneal space was created with CO2 through a 10-mm midline port 2 cm above the pubic hairline. A pair of sutures was inserted at the level of midurethral and urethrovesical junction, fixing them to Cooper's ligament on each side with proper tension.
MEASUREMENTS AND MAIN RESULTS: Of 160 women, 10 were lost to follow-up. On follow-up questionnaire sent to 150 patients, 148 (98.7%) were pleased with the results of surgery. Stress incontinence was cured in 136 women (90.7%) after a minimum of 3 years' follow-up.
CONCLUSION: Cure rates for extraperitoneal colposuspension were similar to those reported for traditional laparoscopic or laparotomy Burch procedures; however, this is a more direct method to expose the space of Retzius, thus eliminating the need to open and close peritoneum.
DESIGN: Retrospective review (Canadian Task Force classification II-2).
SETTING: University-based, tertiary-level center for endoscopic surgery.
PATIENTS: One hundred sixty women with genuine stress incontinence with bladder neck hypermobility.
INTERVENTION: Extraperitoneal space was created with CO2 through a 10-mm midline port 2 cm above the pubic hairline. A pair of sutures was inserted at the level of midurethral and urethrovesical junction, fixing them to Cooper's ligament on each side with proper tension.
MEASUREMENTS AND MAIN RESULTS: Of 160 women, 10 were lost to follow-up. On follow-up questionnaire sent to 150 patients, 148 (98.7%) were pleased with the results of surgery. Stress incontinence was cured in 136 women (90.7%) after a minimum of 3 years' follow-up.
CONCLUSION: Cure rates for extraperitoneal colposuspension were similar to those reported for traditional laparoscopic or laparotomy Burch procedures; however, this is a more direct method to expose the space of Retzius, thus eliminating the need to open and close peritoneum.