Evaluation of Outcomes of Laparoscopic Burch Colposuspension Concomitant with Total Laparoscopic Hysterectomy

  • M. Bülent Tiras
  • Çagatay Taskiran
  • Anil Onan
  • T. Umut K. Dilek
  • Aydan Biri
  • Nuray Bozkurt
  • Haldun Güner

Turk J Obstet Gynecol 2005;2(2):111-115

OBJECTIVE: To present the success and morbidity rates of the patients who underwent total laparoscopic hysterectomy associated with laparoscopic Burch colposuspension operation. Design: Retrospective. Setting: Gazi University, Faculty of Medicine, department of Obstetrics and Gynecology. Patients: The patients who were subjected to the hysterectomy due to benign disease, and having stress incontinence coccomitantly. Interventions: Total laparoscopic hysterectomy plus transperitoneal laparoscopic Burch colposuspension with non-absorbable sutures. Main outcome measures: Feasibility of procedure, and success and morbidity rates. RESULTS: Overall 12 patients were included. The mean age at the time of operation was 48 (range 42-55). All procedures were completed laparoscopically without intraoperative or postoperative complications. Operative time ranged from 160 to 200 minutes (mean, 173 minutes). Mean operative time was 130 minutes (range, 120-150) for total laparoscopic hysterectomy, 43 minutes (range, 35-50) for Burch procedure. Estimated blood loss ranged from 300 to 600 ml (mean, 450). Ultrasonographically estimated volume of the uterus was 73 cm3 (range, 40-167). Mean weight of the hysterectomy specimens was 279 gram (range, 153-350). All patients were discharged from the hospital within 48 to 72 hours. For all patients, catheterization was not required more than 2 days. Mean follow-up period was 16 months (range, 12-24). Ten of 12 (83,4%) patients were cured completely, and 1 (8,3%) was improved for stress incontinence. The remaining one patient (8,3%) did not have any improvement in her complaints. CONCLUSION: Total laparoscopic hysterectomy plus laparoscopic Burch procedure is feasible and effective for patients who underwent hysterectomy and having stress incontinence additionally.

Keywords: laparoscopic Burch colposuspension, total laparoscopic hysterectomy, transperitoneal approach\r\n