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Polypropylen Mesh ve Endotacker Kullanılarak Yapılan Laparoskopik Ekstra peritoneal Burch Kolposüspansiyonun Uzun Dönem Sonuçlan

Long-Term Results Of Laparoscopically Extraperitoneal Burch Colposuspension With Use Polypropylen Mesh And Endotacker Instrument

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2000

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Keywords (Original Language):

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Abstract (2. Language): 
Objective: We aim to present long-term success rate of laparoscopic extraperitoneal Burch colposuspension with use polypropylen mesh and endotacker imminent. Study Design: Total 22 laparoscopic extraperitoneal Burch colposuspension operation was done in our clinic between 1996 and 1998 years. In 2001 years, we reviewed success rate of operation at third month of postoperative, at 12. month, at 24. month and 48. month of postoperative period in terms of stress incontinance. Data from study were examined carefully with guide of literature. Findings: In total 22 patients, success rate of operation at third month , 12.month and 24. month of postoperative period were 95.4%, 71.8% and 71.8%, respectively. Mean follow-up time was approximately 50 months. Long-term success rate was 77.3%. There was a statistical significant difference between early term and long-term results (p<0.05). Only one patient has detrusor instability who successfully treated with oxybutinin. Conclusion: Although early period of succes rate of Laparoscopic exraperitoneal retropubic colposuspension has high, long term sucress rate was not enough to relief symtoms, Therefore, we thinks to review of etiologic Factors, sureical technic and postoperative rehabilitation measures are the most important Factor to decresse of failure of operation.
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Abstract (Original Language): 
Amaç: Polypropylen mesh ve tacker kullanılarak yapılan laparoskopik ekstraperitoneal retropubik kolposüspansiyon operasyonunun geç dönem sonuçlarını sunmak. Çalışma Deseni: 1996-1998 yılları arasında kliniğimizde yapılan 22 adet laparoskopik kolposüspansiyon operasyonun postoperatif 3. ay, 12. ay, 24. ay ve 48. ayda inkontınans sonuçları 2001 yılında yeniden değerlendirildi. Elde edilen veriler literatür ışığında sunuldu. Bulgular: Toplam 22 hastanın 3.ay haşarı oranı %95.4, 12. ayda %81.8, 24. ay haşarı oranı %81.8 ve ortalama 50. ay başarı oranı %77.3 idi. Erken doneni başarı ile uzun dönem başarı oranı arasındaki fark istatistiksel olarak anlamlı idi (p<0.05). Yalnızca bir hastada detrusor instabilitesi tespit edildi. Sonuç: Laparoskopik ekstraperitoneal retropubik kolposuspansion operasyonunun erken dönem sonuçları oldukça başarılı olmasına karşın, uzun dönem sonuçları yeterince başarılı değildir. Bu nedenle etyolojinin, tekniğinin ve postoperatif iyileşmeye katkıda bulunacak faktörlerin gözden geçirilmesi uygun olur düşüncesindeyiz.
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  • 3
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  • Turkish

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