- Email: [email protected]
Laparoscopic pelvic floor repair and urologic function
Abstracts
99. Laparoscopic Pelvic Floor Repair and Sexual Function
poreal knots (simple 1:1:1 knot, Weston, Hutchon, modified Roeder, modified modified Roeder) used in laparoscopic surgery, with seven types of new and traditional suture materials. Measurements and Main Results. Tensions to slippage and breakage were calculated with a calibrated tensiometer. Five loops were tied with each knot with each type of suture material. With monofilament sutures (Monocryl, polydioxaxlone 2, Ethilon) 84% of knots slipped and 16% broke under tension. With use of braided sutures (polyglactin, Paxlacryl, polyester) 74.55 % of knots slipped and 25.33 % broke under tension. Sutures that slipped most often were Monocryl (92%), Paxlacryl (92%), and chromic cat gut (32%). Knots that slipped most were, in descending order, Hutchon, Weston, simple, modified Roeder, and modified Roeder. Conclusion. Most extracorporeal knots slip with tension, however, average tension required for complete loosening ranged from 2.9 to 6.4 kg, and probably all are clinically safe for vascular pedicles.
K Karthigasu, A Larn, A Yazdani, G Cario, D Rosen, D Chou, M Carlton. Sydney Women's Endosurgery Centre, Sydney, Australia.
Objective. To assess sexual function of women, particulafly menopausal women, after laparoscopic surgery for vaginal prolapse. Measurements and Main Results. Despite advances in surgical techniques, few data are available regarding women's sexual function after laparoscopic treatment for genital prolapse. It is important to gain prospective assessments, as problems with sexual function may predate surgical repairs. We developed a questionnaire to be administered to women 6 months after laparoscopic surgical treatment of prolapse. The purpose is to see if these women have a high rate of sexual problems preoperatively, if surgery is successful, and if sexual dysfunction may be due to surgery. Conclusion. We have results of 6-month follow-up.
100. Laparoscopic Pelvic Floor Repair and Urologic Function K Karthigasu, A Larn, A Yazdani, G Cario, D Rosen, D Chou, M Carlton. Sydney Women's Endosurgery Centre, Sydney, Australia.
102. New Method of Laser Hysteroscopic Metroplasty 1H Kaseki, W Hayashi, 1T Matushirna, 2T Yarnazaki, 3K Ishihara, 3T Araki. 1Nippon Medical School, Kawasaki, Kanagawa, Japan; 21ida Municipal Hospital, Nagano, Japan; 3Nippon Medical School, Tokyo, Japan.
Objective. To assess prospectively the effect of laparoscopic pelvic floor repair on urinary function. Measurements and Main Results. We developed a prospective questionnaire study of women having laparoscopic treatment for genital prolapse assessing five areas of interest: general health, urinary function, anorectal function, sexual function, and prolapse symptoms. The intent is to determine if surgery is successful and if patients experience side effects. Conclusion. This questionnaire may be helpful in determining the success of laparoscopic treatment of genital prolapse.
Objective. To assess the efficacy and safety of laser hysteroscopic metroplasty guided by laparoscopicassisted intraabdomina1 sonohysterography in the evaluation and treatment of septate-arcuate uterus and uterine synechiae. Measurements and Main Results. Thirty-nine infertile women (age range 24-39 yrs) with septate-arcuate uterus underwent YAG laser irradiation to uterine fundus, and 15 (age 26-44 yrs) with uterine synechiae had removal of adhesions. At follow-up, 38 women (97%) with septate-arcuate uterus were improved and 33 (85 %) conceived. Fourteen women (93%) with uterine synechiae were completely healed. Conclusion. This treatment was extremely effective.
101. Tension to Breakage and Tension to Loosening of Extracorporeal Laparoscopic Knots with Different Suture Materials K Karthigasu, G Cario, D Rosen, M Carlton. Sydney Women's Endosurgery Centre, Sydney, Australia.
Objective. To assess tension required for loosening and tension to breakage of five commonly used extracor-
$30
99. Laparoscopic Pelvic Floor Repair and Sexual Function
poreal knots (simple 1:1:1 knot, Weston, Hutchon, modified Roeder, modified modified Roeder) used in laparoscopic surgery, with seven types of new and traditional suture materials. Measurements and Main Results. Tensions to slippage and breakage were calculated with a calibrated tensiometer. Five loops were tied with each knot with each type of suture material. With monofilament sutures (Monocryl, polydioxaxlone 2, Ethilon) 84% of knots slipped and 16% broke under tension. With use of braided sutures (polyglactin, Paxlacryl, polyester) 74.55 % of knots slipped and 25.33 % broke under tension. Sutures that slipped most often were Monocryl (92%), Paxlacryl (92%), and chromic cat gut (32%). Knots that slipped most were, in descending order, Hutchon, Weston, simple, modified Roeder, and modified Roeder. Conclusion. Most extracorporeal knots slip with tension, however, average tension required for complete loosening ranged from 2.9 to 6.4 kg, and probably all are clinically safe for vascular pedicles.
K Karthigasu, A Larn, A Yazdani, G Cario, D Rosen, D Chou, M Carlton. Sydney Women's Endosurgery Centre, Sydney, Australia.
Objective. To assess sexual function of women, particulafly menopausal women, after laparoscopic surgery for vaginal prolapse. Measurements and Main Results. Despite advances in surgical techniques, few data are available regarding women's sexual function after laparoscopic treatment for genital prolapse. It is important to gain prospective assessments, as problems with sexual function may predate surgical repairs. We developed a questionnaire to be administered to women 6 months after laparoscopic surgical treatment of prolapse. The purpose is to see if these women have a high rate of sexual problems preoperatively, if surgery is successful, and if sexual dysfunction may be due to surgery. Conclusion. We have results of 6-month follow-up.
100. Laparoscopic Pelvic Floor Repair and Urologic Function K Karthigasu, A Larn, A Yazdani, G Cario, D Rosen, D Chou, M Carlton. Sydney Women's Endosurgery Centre, Sydney, Australia.
102. New Method of Laser Hysteroscopic Metroplasty 1H Kaseki, W Hayashi, 1T Matushirna, 2T Yarnazaki, 3K Ishihara, 3T Araki. 1Nippon Medical School, Kawasaki, Kanagawa, Japan; 21ida Municipal Hospital, Nagano, Japan; 3Nippon Medical School, Tokyo, Japan.
Objective. To assess prospectively the effect of laparoscopic pelvic floor repair on urinary function. Measurements and Main Results. We developed a prospective questionnaire study of women having laparoscopic treatment for genital prolapse assessing five areas of interest: general health, urinary function, anorectal function, sexual function, and prolapse symptoms. The intent is to determine if surgery is successful and if patients experience side effects. Conclusion. This questionnaire may be helpful in determining the success of laparoscopic treatment of genital prolapse.
Objective. To assess the efficacy and safety of laser hysteroscopic metroplasty guided by laparoscopicassisted intraabdomina1 sonohysterography in the evaluation and treatment of septate-arcuate uterus and uterine synechiae. Measurements and Main Results. Thirty-nine infertile women (age range 24-39 yrs) with septate-arcuate uterus underwent YAG laser irradiation to uterine fundus, and 15 (age 26-44 yrs) with uterine synechiae had removal of adhesions. At follow-up, 38 women (97%) with septate-arcuate uterus were improved and 33 (85 %) conceived. Fourteen women (93%) with uterine synechiae were completely healed. Conclusion. This treatment was extremely effective.
101. Tension to Breakage and Tension to Loosening of Extracorporeal Laparoscopic Knots with Different Suture Materials K Karthigasu, G Cario, D Rosen, M Carlton. Sydney Women's Endosurgery Centre, Sydney, Australia.
Objective. To assess tension required for loosening and tension to breakage of five commonly used extracor-
$30