Endoscopic surgery and allied technologies最新文献_第3页

Laparoscopic bladder neck suspension. 腹腔镜膀胱颈部悬吊。

Endoscopic surgery and allied technologies Pub Date : 1995-04-01

J E Carter

{"title":"Laparoscopic bladder neck suspension.","authors":"J E Carter","doi":"","DOIUrl":"","url":null,"abstract":"The preferred therapy for genuine stress incontinence is surgery. The Burch procedure is considered by many to be the gold standard for surgical treatment of genuine stress incontinence. The Burch procedure requires the elevation of the anterior wall of the vagina to the level of the origin of the paravaginal fascia by suspension from Cooper's ligaments (iliopectineal ligaments). A properly performed Burch procedure cures 93 percent. The laparoscopic performance of the Burch procedure results in a decrease in the length of hospital stay, faster recovery, and less scarring due to the smaller incisions. In a consecutive series of thirty patients the average length of stay in hospital was thirty-six hours and the patients were able to return to non-stressful regular activities within one week of surgery. There were no conversions to the open Burch procedure. Intraoperative and postoperative complications included one electrocautery injury of the bladder requiring laparoscopic suture reinforcement of the bladder and three weeks of bladder drainage, three episodes of transient detrusor instability requiring medical therapy for two months, and two episodes of urinary retention requiring bladder drainage for two weeks. The laparoscopic procedure provides results similar to the open operation if a meticulous technique is used.","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18557008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disposable versus reusable instrumentation. 一次性的与可重用的仪器。

Endoscopic surgery and allied technologies Pub Date : 1995-04-01

G J Maddern, J R Bessell

引用次数: 0

Economic impact of laparoscopic instrumentation: a company perspective. 腹腔镜仪器的经济影响:一个公司的观点。

Endoscopic surgery and allied technologies Pub Date : 1995-04-01

T Swem, R Fazzalari

引用次数: 0

Subtotal hysterectomy revisited. 再次行子宫次全切除术。

Endoscopic surgery and allied technologies Pub Date : 1995-04-01

C Sutton

引用次数: 0

Endoscopic retropubic colposuspension: "Retziusscopy" versus laparoscopy--a reasonable enlargement of the operative spectrum in the management of recurrent stress incontinence? 内窥镜下耻骨后阴道悬吊:“Retziusscopy”与腹腔镜-在治疗复发性应激性尿失禁中合理扩大手术范围?

Endoscopic surgery and allied technologies Pub Date : 1995-04-01

D Wallwiener, E M Grischke, S Rimbach, A Maleika, G Bastert

{"title":"Endoscopic retropubic colposuspension: \"Retziusscopy\" versus laparoscopy--a reasonable enlargement of the operative spectrum in the management of recurrent stress incontinence?","authors":"D Wallwiener, E M Grischke, S Rimbach, A Maleika, G Bastert","doi":"","DOIUrl":"","url":null,"abstract":"The technical feasibility of the laparoscopic and extraperitoneal approach to the Burch colposuspension for treatment of grade II and III (moderate to severe) stress incontinence was examined in a randomised prospective study. Irrespective of the endoscopic access, two suspension techniques, namely conventional suture and stapler fixation of alloplastic materials, were compared. A total of 20 patients entered this preliminary evaluation. Three complications occurred; a bladder perforation (during laparoscopic dissection of the space of Retzius), a postoperative detrusor instability and transient urinary retention. Both the endoscopic approaches and the suspension procedures employed proved feasible and safe, and presented the advantages of a \"minimal access\" procedure, with short hospitalisation and rapid recovery. Short-term follow-up (6-12 months) showed subjective and objective results comparable to those of the conventional abdominal Burch colposuspension. Detailed evaluation of the subgroups is not yet feasible, as the number of patients in this preliminary evaluation was too small and follow-up too short. Final evaluation of the entire study population and long-term follow-up will be necessary before these procedures can be generally offered as a therapeutic alternative.","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18560349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disposable and reusable instruments. 一次性和可重复使用的仪器。

Endoscopic surgery and allied technologies Pub Date : 1995-04-01

G J Maddern, J R Bessell

引用次数: 0

Laparoscopic creation of a neovagina: modified Vecchietti method. 腹腔镜下新阴道的创建:改进的Vecchietti方法。

Endoscopic surgery and allied technologies Pub Date : 1995-04-01

J Keckstein, G Buck, V Sasse, F Tuttlies, U Ulrich

引用次数: 0

Further refinements of the polyp snare for interuterine surgery--a new modality for treatment of myomas and polyps. 子宫间手术息肉陷阱的进一步改进——肌瘤和息肉治疗的新模式。

Endoscopic surgery and allied technologies Pub Date : 1995-04-01

B McLucas

引用次数: 0

Multifunctional instrument for operative laparoscopy: technical, experimental and clinical results in gynaecology. 腹腔镜手术用多功能仪器:妇科的技术、实验和临床结果。

Endoscopic surgery and allied technologies Pub Date : 1995-04-01

D Wallwiener, B Stumpf, G Bastert, W Mueller

{"title":"Multifunctional instrument for operative laparoscopy: technical, experimental and clinical results in gynaecology.","authors":"D Wallwiener, B Stumpf, G Bastert, W Mueller","doi":"","DOIUrl":"","url":null,"abstract":"Whilst endoscopic surgical procedures are getting increasingly more complex, in the various surgical disciplines mono- and bifunctional instruments are only slowly being replaced by multifunctional ones. Therefore a complex, intelligent system was developed, the central part of which is a multifunctional instrument. All basic functions necessary for surgical laparoscopy are integrated and comprise: cutting electrodes (unipolar and bipolar) which can be advanced or retracted pneumatically; coagulation forceps with mechanical control; and irrigation and suction devices. All 5 mm instruments can be used and there is an option for others, such as laser or aqua-dissection. The various functions are controlled via the handle of the multifunctional instrument which is connected to the electronic control unit, the MULTILAP system, which supplies the energy, material, and information flow required. In vivo standardised experiments in pigs were first performed to test the new instrument. Operation time was reduced by more than 20% when compared with the same procedure performed conventionally, during which frequent changing of instruments was necessary. Clinical application, without complications in all 30 patients (uterus preserving procedures or reconstructive tubo-ovarian surgery) confirmed the advantages of a multifunctional device, with optimised cutting and coagulation of vessels more than 1-2 mm in diameter, and reduced duration of operation. Safety and ergonomics were improved. Thus, an electronically controlled instrument with multifunctional working channels for lasers, ultrasound appliances, or mechanical instruments is available for application in all domains of operative laparoscopy.","PeriodicalId":79337,"journal":{"name":"Endoscopic surgery and allied technologies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18560351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Single-patient-use laparoscopic instrumentation: a company perspective. 单个患者使用腹腔镜仪器:公司视角。

Endoscopic surgery and allied technologies Pub Date : 1995-04-01

S Straface

引用次数: 0