Book contents
- Frontmatter
- Contents
- Contributing Authors
- Forewords
- Preface
- 1 HISTORY OF MODERN OPERATIVE LAPAROSCOPY
- 2 EQUIPMENT
- 3 ANESTHESIA
- 4 LAPAROSCOPIC ACCESS
- 5 LAPAROSCOPIC SUTURING
- 6 INTRAPERITONEAL AND RETROPERITONEAL ANATOMY
- 7 FERTILITY
- 8 HYSTEROSCOPY
- 9 MANAGEMENT OF ADNEXAL MASSES
- 10 ENDOMETRIOSIS
- 11 LAPAROSCOPIC ADHESIOLYSIS AND ADHESION PREVENTION
- 12 LEIOMYOMAS
- 13 HYSTERECTOMY
- 14 PELVIC FLOOR
- 15 LAPAROSCOPIC TREATMENT OF CHRONIC PELVIC PAIN
- 16 GYNECOLOGIC MALIGNANCY
- 17 LAPAROSCOPY IN THE PREGNANT PATIENT
- 18 MINIMAL ACCESS PEDIATRIC SURGERY
- 19 LAPAROSCOPIC VASCULAR SURGERY IN 2007
- 20 COMPLICATIONS IN LAPAROSCOPY
- 21 ADDITIONAL PROCEDURES FOR PELVIC SURGEONS
- 22 LAPAROSCOPY SIMULATORS FOR TRAINING BASIC SURGICAL SKILLS, TASKS, AND PROCEDURES
- 23 ROBOT-ASSISTED LAPAROSCOPY
- 24 HYSTEROSCOPY AND ENDOMETRIAL CANCER
- 25 OVERVIEW OF COMPLICATIONS
- Appendix
- Atlas
- Index
14 - PELVIC FLOOR
Published online by Cambridge University Press: 23 December 2009
- Frontmatter
- Contents
- Contributing Authors
- Forewords
- Preface
- 1 HISTORY OF MODERN OPERATIVE LAPAROSCOPY
- 2 EQUIPMENT
- 3 ANESTHESIA
- 4 LAPAROSCOPIC ACCESS
- 5 LAPAROSCOPIC SUTURING
- 6 INTRAPERITONEAL AND RETROPERITONEAL ANATOMY
- 7 FERTILITY
- 8 HYSTEROSCOPY
- 9 MANAGEMENT OF ADNEXAL MASSES
- 10 ENDOMETRIOSIS
- 11 LAPAROSCOPIC ADHESIOLYSIS AND ADHESION PREVENTION
- 12 LEIOMYOMAS
- 13 HYSTERECTOMY
- 14 PELVIC FLOOR
- 15 LAPAROSCOPIC TREATMENT OF CHRONIC PELVIC PAIN
- 16 GYNECOLOGIC MALIGNANCY
- 17 LAPAROSCOPY IN THE PREGNANT PATIENT
- 18 MINIMAL ACCESS PEDIATRIC SURGERY
- 19 LAPAROSCOPIC VASCULAR SURGERY IN 2007
- 20 COMPLICATIONS IN LAPAROSCOPY
- 21 ADDITIONAL PROCEDURES FOR PELVIC SURGEONS
- 22 LAPAROSCOPY SIMULATORS FOR TRAINING BASIC SURGICAL SKILLS, TASKS, AND PROCEDURES
- 23 ROBOT-ASSISTED LAPAROSCOPY
- 24 HYSTEROSCOPY AND ENDOMETRIAL CANCER
- 25 OVERVIEW OF COMPLICATIONS
- Appendix
- Atlas
- Index
Summary
Retropubic Burch colposuspension has been considered by many to be the “gold standard” procedure for the treatment of female stress urinary incontinence for almost 40 years. Vancaillie and Schuessler introduced the laparoscopic approach to retropubic colposuspension in 1991. Numerous reports followed in subsequent years describing laparoscopic colposuspensions and their efficacy. Analysis of the outcomes of these various laparoscopic “Burch” colposuspensions is difficult because many of the techniques are not true Burch procedures but rather other modified retropubic colposuspensions. In this section, we describe the laparoscopic Burch colposuspension, including patient selection, preoperative evaluation, operative technique, possible complications, and efficacy. We review the efficacy of the laparoscopic Burch colposuspension studies that use the Burch—Tanagho procedure and compare these techniques to other popular anti-incontinence procedures. The many modified laparoscopic retropubic procedures are not addressed.
BURCH COLPOSUSPENSION: THE EVOLUTION OF A PROCEDURE
In 1961, Burch published the description of a new female anti-incontinence procedure, based on a technique started in 1958. The technique involved entering the space of Retzius via a paramedian incision. After clearing the periurethral tissue of its overlying fat and areolar tissue, three 2-0 chromic sutures were placed at the mid-urethra and the bladder neck and then fixed to Cooper's ligament. Burch reported a subjective cure rate of 92% in 143 patients with 10 to 60 months of followup.
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- Nezhat's Operative Gynecologic Laparoscopy and Hysteroscopy , pp. 366 - 424Publisher: Cambridge University PressPrint publication year: 2008