최씨 훅을 이용한 복강경 버찌씨 수술 = Laparoscopic Burch Colposuspension with the Choi`s Hook

다국어 초록 (Multilingual Abstract)

Objective: Burch operation has been effective method for the treatment of stress incontinence. Burch operation is a well-accepted procedure for treating stress urinary incontinence secondary to urethral hypermobility without intrinsic sphincter deficiency and is the reference standard with which other procedures are compared. This study is to evaluate the effectiveness of the Choi`s hook in laparoscopic Burch operation. Methods: This study included 47 patients who had undergone laparoscopic Burch operation from October 2000 through March 2005. Of these 47 patients, 27 patients underwent traditional laparoscopic Burch operation (Group 1) and 20 patients underwent laparoscopic Burch operation with Choi`s Hook on anchoring the endopelvic fascia to the Cooper`s ligament (Group 2). Results: The mean age of patients of Group 1 was 55.6±9.37 years of age and that of Group 2 was 56.0±5.93 years of age. There is no difference in the mean age of patients (P＞0.05). The mean operating time was 90.5±15.32 minutes for Group 1 and 38.5±10.14 minute for Group 2. The mean operating time was shorter in Group 2 than Group 1 (P＜0.05). There was no difference in recurrence rate and complication rate between Group 1 and Group 2 (P＞0.05). Conclusion: We performed laparoscopic Burch operation with the Choi`s Hook on anchoring the endopelvic fascia to the Cooper`s ligament. When we compared traditional laparoscopic Burch operation with laparoscopic Burch operation with Choi`s Hook, we could shorten the operation time using the Choi`s Hook.

참고문헌 (Reference)

1 김조영, "여성의 복압성 요실금의 수술적 치료에서 Tension-free vaginal tape 와 Burch colposuspension의 비교" 47 (47): 264-268, 2004

2 Ridhstrom H, "Urodynamic studies before and after retropubic colpo-urethrocystopexy in fertile women with stress urinary incontinence" 241 : 201-7, 1988

3 Thomas TN, "The prevalence of urinary stress incontinence" 281 : 1243-5, 1980

4 Wolin LH, "Stress incontinence in young healthy nulliparous female subjects" 101 : 545-9, 1969

5 Su TH, "Prospective comparison of laparoscopic colposuspensions in the treatment of genuine stress incontinence" 76 : 576-582, 1997

6 Bergman A, "Primary stress urinary incontinence and pelvic relaxation:Prospective randomized comparison of three different operation" 160 : 1102-6, 1989

7 Christian sen H, "Long- term results of the Stamey bladder neck suspension procedure and of the Burch colposuspension" 31 (31): 349-353, 1997

8 Moehrer B, "Laparoscopic colposuspension for urinary incontinence in women" 1 : 2002

9 Vancaillie TG, "Laparoscopic bladder neck suspension" 1 : 169-73, 1991

10 Zullo F, "Laparoscopic Burch composuspension:a randomized controlled trial comparing two transperitoneal surgical techniques" 98 : 783-788, 2001

11 Persson J, "Laparoscopic Burch composuspension for stress urinary incontinence a randomized comparison of one or two sutures on each side of the urethra" 95 : 151-155, 2000

12 Cutnet A, "Laparoscopic Burch colposuspension" 13 : 533-537, 2001

13 Liapis A, "Genuine stress incontinence: prospective randomized comparison of two operative methods" 64 (64): 69-72, 1996

14 Ostergard DR, "First international consultation on incontinence" Health publication.Ltd 436-438, 1998

15 Burch JC, "Cooper's ligament urethrovesical suspension for stress incontinence" 187 (187): 512-516, 2002

16 Lipis A, "Burch colposuspension and tension-free vaginal tape in the management in the stress urinary incontinence in women" 41 (41): 469-473, 2002

17 Hannestad YS, "A community based epidemiologic survey of female urinary incontinence:the Norwegain EPICOMT study" 53 : 1150-1156, 2000