Results of the abdominal levator-muscle repair in 175 stress incontinent women are presented. Two years after the operation 83% were cured or improved regarding urinary incontinence. The urodynamic evaluation revealed a normalization of the maximum flow rate, residual urine and cystometry in nearly all cases. The abdominal levator-muscle repair carried a low morbidity, and is especially recommended in women with combined urinary and anal incontinence.
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http://dx.doi.org/10.3109/00365598709180783 | DOI Listing |
Innov Surg Sci
June 2023
Department of General, Abdominal, Vascular and Transplant Surgery, Otto von Guericke University at Magdeburg with University Hospital, Magdeburg, Germany.
Introduction: The aim was to reflect the established interdisciplinary aspects of general/abdominal and plastic surgery by means of a narrative review. Methods: (i) With specific references out of the medical literature and (ii) own clinical and perioperative as well as operating technical and tactical management experiences obtained in surgical daily practice, we present a choice of options for interdisciplinary cooperation that could be food of thought for other surgeons.
Content: - Decubital ulcers require pressure relieve, debridement and plastic surgery coverage, e.
Asian J Endosc Surg
April 2022
Department of Gastrointestinal Surgery, Aizawa Hospital, Nagano, Japan.
Perineal hernia is the protrusion of the intra-abdominal viscera through the pelvic floor. It rarely occurs after abdominoperineal resection but has increasingly occurred after surgical treatment for rectal cancer. A patient was diagnosed as having perineal hernia 10 days after laparoscopic abdominoperineal resection with preoperative radiotherapy and chemotherapy.
View Article and Find Full Text PDFGan To Kagaku Ryoho
December 2019
Dept. of Gastrointestinal and Pediatric Surgery, Tokyo Medical University.
Natural orifice specimen extraction(NOSE)can be considered a minimally invasive treatment method. We performed robotassisted laparoscopic lower anterior resection and total hysterectomy with transvaginal NOSE. The patient was a 44-year-old woman.
View Article and Find Full Text PDFNeurourol Urodyn
September 2019
Department of Gynaecology & Obstetrics, Clínica Universidad de Navarra, Avda, Pamplona, Spain.
Aims: Abdominal hypopressive technique (AHT) is gaining popularity as an alternative to pelvic floor muscle training (PFMT) during postpartum. Although, there is no solid evidence for its recommendation.
Methods: We conducted a prospective observational cohort study in a university hospital with 105 primiparae who performed a two-month PFMT or AHT program.
Colorectal Dis
July 2017
Department of Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, and Shanghai Minimally Invasive Surgery Center, Shanghai, China.
Aim: Extralevator abdominoperineal excision (ELAPR) is challenging 'conventional' abdominoperineal excision (APR), yet the safety and efficacy of ELAPR is still under debate. We therefore developed a laparoscopic APR with trans-abdominal individualized levator transection (LAPR-TILT) approach and compared the outcome with a conventional laparoscopic APR (CLAPR).
Method: All eligible patients were entered a single-centre randomized controlled trial to compare CLAPR and LAPR-TILT.
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