The retropubic colposuspension ( Burch procedure) has been proven its effectiveness in the treatment for female genuine stress urinary incontinence. Recently, laparoscopy was introduced as another therapeutical possibilityin performing Burch suspension. Endoscopic colposuspension can be performed either extraperitoneally or transperitoneally. If there is no need for intra-abdominal procedures the extra-peritoneal approach for colposuspension is indicated and generally a balloon dissection is used to develop the extraperitoneal space. The extraperitoneal approach is quicker and decreases the costs of the procedure compared to transperitoneal approach. Extraperitoneal "gasless" technique was recently described. Our initial experience in performing Burch laparoscopic procedure by transperitoneal and extraperitoneal balloon technique is summarized.
COLPOSOSPENSIONE SECONDO BURCH LAPAROSCOPICA
LITTA, PIETRO SALVATORE;
1998
Abstract
The retropubic colposuspension ( Burch procedure) has been proven its effectiveness in the treatment for female genuine stress urinary incontinence. Recently, laparoscopy was introduced as another therapeutical possibilityin performing Burch suspension. Endoscopic colposuspension can be performed either extraperitoneally or transperitoneally. If there is no need for intra-abdominal procedures the extra-peritoneal approach for colposuspension is indicated and generally a balloon dissection is used to develop the extraperitoneal space. The extraperitoneal approach is quicker and decreases the costs of the procedure compared to transperitoneal approach. Extraperitoneal "gasless" technique was recently described. Our initial experience in performing Burch laparoscopic procedure by transperitoneal and extraperitoneal balloon technique is summarized.Pubblicazioni consigliate
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