The Female Pelvic Floor: Function, Dysfunction and Management According to the Integral Theory
The initial objective of this work was to reduce stress incontinence surgery from a major surgical procedure (requiring up to ten days in hospital) to a minor day-care operation. From the beginning it was clear that the two major impediments to achieving this goal were post operative pain and urinar...
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Format: | Elektronisch E-Book |
Sprache: | English |
Veröffentlicht: |
Berlin, Heidelberg
Springer Berlin Heidelberg
2004
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Schlagworte: | |
Online-Zugang: | UBR01 Volltext |
Zusammenfassung: | The initial objective of this work was to reduce stress incontinence surgery from a major surgical procedure (requiring up to ten days in hospital) to a minor day-care operation. From the beginning it was clear that the two major impediments to achieving this goal were post operative pain and urinary retention. Addressing these problems became a long and winding road and culminated in the Integral Theory. The IVS 'tension-free' tape operation was inspired by Dr Robert Zacharin's anatomical studies. Though Zacharin suggested that the ligaments and muscles around the urethra were important for urinary continence control, he did not say how. The observation that implanted foreign materials created scar tissue led to the hypothesis that a plastic tape inserted in the position of the pubourethrallig ament, would leave behind sufficient scar tissue to reinforce that ligament, which would then anchor the muscles for urethral closure. In September 1986, two prototype Intravaginal Sling operations were per formed. A Mersilene tape was inserted with neither tension nor elevation, in the position of the pubourethral ligament. Restoration of continence was immediate and both patients were discharged on the day following surgery without require ment for catheterization. There was minimal pain, and immediate restoration of continence. After six weeks the tapes were removed. Both patients were still conti nent at last review 10 years later. The results appeared to confirm the importance of a midurethral anchoring point |
Beschreibung: | 1 Online-Ressource (XXII, 222 p. 200 illus., 162 illus. in color) |
ISBN: | 9783662054451 |
DOI: | 10.1007/978-3-662-05445-1 |
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520 | |a The initial objective of this work was to reduce stress incontinence surgery from a major surgical procedure (requiring up to ten days in hospital) to a minor day-care operation. From the beginning it was clear that the two major impediments to achieving this goal were post operative pain and urinary retention. Addressing these problems became a long and winding road and culminated in the Integral Theory. The IVS 'tension-free' tape operation was inspired by Dr Robert Zacharin's anatomical studies. Though Zacharin suggested that the ligaments and muscles around the urethra were important for urinary continence control, he did not say how. The observation that implanted foreign materials created scar tissue led to the hypothesis that a plastic tape inserted in the position of the pubourethrallig ament, would leave behind sufficient scar tissue to reinforce that ligament, which would then anchor the muscles for urethral closure. In September 1986, two prototype Intravaginal Sling operations were per formed. A Mersilene tape was inserted with neither tension nor elevation, in the position of the pubourethral ligament. Restoration of continence was immediate and both patients were discharged on the day following surgery without require ment for catheterization. There was minimal pain, and immediate restoration of continence. After six weeks the tapes were removed. Both patients were still conti nent at last review 10 years later. The results appeared to confirm the importance of a midurethral anchoring point | ||
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Datensatz im Suchindex
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any_adam_object | |
author | Petros, Peter |
author_facet | Petros, Peter |
author_role | aut |
author_sort | Petros, Peter |
author_variant | p p pp |
building | Verbundindex |
bvnumber | BV046145640 |
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collection | ZDB-2-SME |
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dewey-full | 618.1 |
dewey-hundreds | 600 - Technology (Applied sciences) |
dewey-ones | 618 - Gynecology, obstetrics, pediatrics, geriatrics |
dewey-raw | 618.1 |
dewey-search | 618.1 |
dewey-sort | 3618.1 |
dewey-tens | 610 - Medicine and health |
discipline | Medizin |
doi_str_mv | 10.1007/978-3-662-05445-1 |
format | Electronic eBook |
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isbn | 9783662054451 |
language | English |
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spelling | Petros, Peter Verfasser aut The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory by Peter Petros Berlin, Heidelberg Springer Berlin Heidelberg 2004 1 Online-Ressource (XXII, 222 p. 200 illus., 162 illus. in color) txt rdacontent c rdamedia cr rdacarrier The initial objective of this work was to reduce stress incontinence surgery from a major surgical procedure (requiring up to ten days in hospital) to a minor day-care operation. From the beginning it was clear that the two major impediments to achieving this goal were post operative pain and urinary retention. Addressing these problems became a long and winding road and culminated in the Integral Theory. The IVS 'tension-free' tape operation was inspired by Dr Robert Zacharin's anatomical studies. Though Zacharin suggested that the ligaments and muscles around the urethra were important for urinary continence control, he did not say how. The observation that implanted foreign materials created scar tissue led to the hypothesis that a plastic tape inserted in the position of the pubourethrallig ament, would leave behind sufficient scar tissue to reinforce that ligament, which would then anchor the muscles for urethral closure. In September 1986, two prototype Intravaginal Sling operations were per formed. A Mersilene tape was inserted with neither tension nor elevation, in the position of the pubourethral ligament. Restoration of continence was immediate and both patients were discharged on the day following surgery without require ment for catheterization. There was minimal pain, and immediate restoration of continence. After six weeks the tapes were removed. Both patients were still conti nent at last review 10 years later. The results appeared to confirm the importance of a midurethral anchoring point Gynecology Urology Beckenbodenfunktionsstörung (DE-588)4282290-7 gnd rswk-swf Gynäkologische Chirurgie (DE-588)4022653-0 gnd rswk-swf Beckenbodenfunktionsstörung (DE-588)4282290-7 s Gynäkologische Chirurgie (DE-588)4022653-0 s DE-604 Erscheint auch als Druck-Ausgabe 9783662054475 Erscheint auch als Druck-Ausgabe 9783662054468 Erscheint auch als Druck-Ausgabe 9783540224105 https://doi.org/10.1007/978-3-662-05445-1 Verlag URL des Erstveröffentlichers Volltext |
spellingShingle | Petros, Peter The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory Gynecology Urology Beckenbodenfunktionsstörung (DE-588)4282290-7 gnd Gynäkologische Chirurgie (DE-588)4022653-0 gnd |
subject_GND | (DE-588)4282290-7 (DE-588)4022653-0 |
title | The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory |
title_auth | The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory |
title_exact_search | The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory |
title_full | The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory by Peter Petros |
title_fullStr | The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory by Peter Petros |
title_full_unstemmed | The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory by Peter Petros |
title_short | The Female Pelvic Floor |
title_sort | the female pelvic floor function dysfunction and management according to the integral theory |
title_sub | Function, Dysfunction and Management According to the Integral Theory |
topic | Gynecology Urology Beckenbodenfunktionsstörung (DE-588)4282290-7 gnd Gynäkologische Chirurgie (DE-588)4022653-0 gnd |
topic_facet | Gynecology Urology Beckenbodenfunktionsstörung Gynäkologische Chirurgie |
url | https://doi.org/10.1007/978-3-662-05445-1 |
work_keys_str_mv | AT petrospeter thefemalepelvicfloorfunctiondysfunctionandmanagementaccordingtotheintegraltheory |