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Re: sutures at urethropexyFrom: William Cely (wcely@pacifier.com)Fri Jan 31 09:26:48 1997
At 10:09 PM 1/30/97 -0600, you wrote: >At 11:04 PM 1/29/97 -0600, you wrote: >>I just helped someone on a "series" of 3 laparoscopic Burch procedures using >>Prolene mesh stapled with titanium staples to Coooper's and the vaginal mucosa >>lateral to the urethrovesical neck. It was actually a pretty smooth >>procedure, a culdeplasty was performed in all 3 cases, and there were no >>complications. I would like to see more long-term follow-up data on this >>procedure. What is your (or the group's) experience with this approach? >> >>Thanks, >> >>Ashley >>D. Ashley Hill, M.D. > >I haven't seen it, but agree with your comments about long term followup. >Let others "work out the bugs" and then we'll do them. > >dinosaur Garry > I am a gynecologist in private practice in a community hosptal. During the last three years I have performed over 100 laparoscopic Burches. The first were with mesh as described above. I then swtiched to regular suturing (extra-corporeal, #1 ethibond) with the same method I used as with my open Burches. My success rate(only three years) is the same as with the open method, about 90%. At the AAGL meeting in Chicago this year almost all of the papers on outcome of the laparoscopic Burch reported the same.
-- William Cely M.D.
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