González RV, López LJM, Higuera HF, Rico HMA

Language: Spanish
References: 12
Page: 14-18
PDF size: 108.99 Kb.

ABSTRACT

The stress urinary incontinence continuous being a frequent pathology in the woman, affecting its biopsicosocial development. Through time different surgical techniques for their correction have been implemented and nowadays the Burch’s technique is considered the gold standard for its treatment, and is made by laparoscopic approach. The objective of this study is to present the experience in the service of General Surgery of the General Hospital of Mexico with the laparoscopic boarding for the technique of Burch. This study was made in the period of years 1998 to the 2007, taking part 91 patients with average of age of 48.5 years, the variables to study were the age, time of evolution and type of cystocele, number of pregnancies and surgical time, among others; the results were favorable, in the pursuit to 6 years of the taken part patients were no recurrences, the surgical time was optimized as was increased the number of taken part patients; the transoperatory hemorrhage were observed in three patients, that was controlled suitably and without reduction of the general state of the same ones. We considered that the Technique of Burch by Laparoscopic approach is a good alternative to treat this pathology, although economically can entail a compared high cost to the opened boarding, the recovery of the patients to its activities and minor hospital stay, justifies it.

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