DDC 616.6
Tác giả CN Drutz, H.P.
Nhan đề Female pelvic medicine and reconstructive pelvic surgery / P. Drutz, S. Herschorn, and N.E. Diamant
Thông tin xuất bản London : Springer, 2003
Mô tả vật lý 535 tr. ; cm.
Tóm tắt During the last decade we have gained a better understanding of the function of the pelvic floor as a unit. The most common cause of insufficiency of the pelvic floor and its sphincters is the normal aging of its connective tissue, especially the collagen. It seems that this process can be counteracted by the influence of certain foreign bodies. Professor Chassar Moir of Oxford was one of the gynecologists who started using synthetic material in the slings at the Aldridge operation. He once told me that in some patients where he later had to make a laparotomy because of other diseases, he had found that the sling’s fixation at the aponeurosis had ruptured but the patient still was continent. To me it seemed very likely that it had been some type of action between the sling and the surrounding tissue which strengthened its structure. Instead of laying a muscle sling over the anterior parts of the divided muscle pubococcygeus at the levator plastic, I therefore tried to put a piece of nylon tissue over the sutured pubocervical ligaments. The result was that the nylon was expelled in single threads, but the patient became continent. After that I placed a piece of Marlex mesh as big as an ordinary postage stamp over the sutured pubocervical ligaments after the continence had been controlled with the bladder filled with 200 ml saline. With this technique five cases with stress incontinence were operated and cured at 5-year follow up. Unfortunately, I could not operate more patients with this technique because I had retired. One patient I had the possibility to control after 25 years. She was still continent at the age of 93 years.
Từ khóa tự do Urogynecology
Từ khóa tự do Pelvic floor
Từ khóa tự do Urinary Tract
Địa chỉ HIU 1Kho sách ngoại văn(1): 10201504
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041 |avie
044 |avm
082 |a616.6|bD797 - H111
100 |aDrutz, H.P.
245 |aFemale pelvic medicine and reconstructive pelvic surgery / |cP. Drutz, S. Herschorn, and N.E. Diamant
260 |aLondon : |bSpringer, |c2003
300 |a535 tr. ; |ccm.
520 |aDuring the last decade we have gained a better understanding of the function of the pelvic floor as a unit. The most common cause of insufficiency of the pelvic floor and its sphincters is the normal aging of its connective tissue, especially the collagen. It seems that this process can be counteracted by the influence of certain foreign bodies. Professor Chassar Moir of Oxford was one of the gynecologists who started using synthetic material in the slings at the Aldridge operation. He once told me that in some patients where he later had to make a laparotomy because of other diseases, he had found that the sling’s fixation at the aponeurosis had ruptured but the patient still was continent. To me it seemed very likely that it had been some type of action between the sling and the surrounding tissue which strengthened its structure. Instead of laying a muscle sling over the anterior parts of the divided muscle pubococcygeus at the levator plastic, I therefore tried to put a piece of nylon tissue over the sutured pubocervical ligaments. The result was that the nylon was expelled in single threads, but the patient became continent. After that I placed a piece of Marlex mesh as big as an ordinary postage stamp over the sutured pubocervical ligaments after the continence had been controlled with the bladder filled with 200 ml saline. With this technique five cases with stress incontinence were operated and cured at 5-year follow up. Unfortunately, I could not operate more patients with this technique because I had retired. One patient I had the possibility to control after 25 years. She was still continent at the age of 93 years.
653 |aUrogynecology
653 |aPelvic floor
653 |aUrinary Tract
691 |aVật lý tri liệu - phục hồi chức năng
852|aHIU 1|bKho sách ngoại văn|j(1): 10201504
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Dòng Mã vạch Item Location Giá sách Ký hiệu PL/XG Phân loại Bản sao Tình trạng Thành phần
1 10201504 Kho sách ngoại văn 616.6 D797 - H111 Kỹ thuật phục hồi chức năng 1