854512804TVTO治療女性壓力性尿失禁

1、tvt-o治療女性壓力性尿失禁治療女性壓力性尿失禁 * trademark 1 tvt的尿道中段懸吊已經(jīng)成為“金標(biāo)準(zhǔn)” long-term, seven year follow-up data presented at 2003 iuga reported+ cure rate of 81% significantly improved rate of 16% comparable to 5 year data of 85% / 11% respectively very low rates of reported major complications in over 500,000 pat

2、ients reported bowel injury less than 6 / 100,000 procedures reported major vascular injury less than 9 / 100,000 procedures + nilsson, et. al, 7 year follow-up of the tension-free vaginal tape (tvt) procedure; international urogynecology journal, iuga abstract # 116 (89); october, 2003. 2 complicat

3、ion us ex-us total % 血管損傷 7 37 44 0.009 尿道磨損20 0 20 0.004 腸損傷16 12 28 0.006 神經(jīng)損傷 3 1 4 0.0008 血腫 4 16 20 0.004 most significant reported complications+ based on over 500,000 patients treated worldwide + as of september 26, 2003, seven deaths are associated with gynecare tvt. six cases were for bowel

4、 perforation. five were associated with undiagnosed bowel perforations at the time of surgery. in the sixth case of bowel perforation, no additional information could be obtained. the seventh case was associated with a woman who had a bleeding disorder who died from uncontrolled postoperative bleedi

5、ng in the retropubic space. 3 professor jean de leval, chairman of urology at the university of liege, belgium 4 避開恥骨后空間可能帶來的好處 減少膀胱穿孔，尤其對有手術(shù)史的病人 避免恥骨后血腫 避免腸穿孔 減少大血管的損傷 懸吊帶方向的改變可能帶來的好處 減少術(shù)后尿潴留的發(fā)生率 手術(shù)時間更短 5 retropubic slings (“u” shaped) f1f1 f2 f2 obturator slings (hammock shaped) -hammock shape of

6、sling may result in less obstructive symptoms and/or de novo urgency, since it is harder to overcompress the urethra 懸吊帶方向的改變減少梗阻的發(fā)生和術(shù)后急迫癥狀 - however, this may also make it more difficult to correct certain patients, such as those with isd 但是，對于但是，對于isd的病人可能不能完全糾治的病人可能不能完全糾治 6 consists of three majo

7、r components gynecare tvt 經(jīng)閉孔吊帶 gynecare tvt 螺旋穿刺針 gynecare tvt 蝶型導(dǎo)引器 blister package shown with tyvek lid removed 7 吊帶吊帶 -錐形頭的塑料管連于帶 塑料外套的藍色 普理靈網(wǎng)帶 -塑料管和組件的材料 - 聚乙烯 - 聚亞安酯 - 塑料管直徑4.2-4.8毫米 (從尖錐部到底部) 螺旋穿刺針螺旋穿刺針 - 預(yù)先放置于塑料套內(nèi) - 固定在塑料套內(nèi) - 材料 - 聚碳酸酯的手柄 - 不銹鋼穿刺針 8 bendable tabs 6 cm 7 cm 蝶型導(dǎo)引器有助于螺旋穿刺針準(zhǔn)確一致地

8、穿過組織 6公分長, 可以延長至7公分. 9 workstation design with left hand, grab helical passer for patients right side winged guide slides out of workstation in this direction with right hand, grab helical passer for patients left side after grasping both handles and removing, rotate handles outward holds helical pa

9、sser, device, and winged guide allows for dumping or aseptic transfer from tyvek blister patient orientation symbol 10 product ordering information product code: 810081 11 review of procedural steps de leval, jean.; european urology, 2003; 44(6), 724-730. 107 consecutive patients (mean age=62 years) mean operative time of 14 minutes (range=7-20 min) no bladder or urethral injury no va