Anatomical relationship and fixation of tension-free vaginal tape Secur

Objective The objective is to describe the anatomical localisation of tension-free vaginal tape Secur (TVT-S) in the H-position regarding possible injury of vessels and fixation site. Methods We placed TVT-S inserters bilaterally in 14 embalmed and five fresh frozen female bodies. After dissection,...

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Published in:International Urogynecology Journal 2009-06, Vol.20 (6), p.681-688
Main Authors: Hubka, Petr, Masata, Jaromir, Nanka, Ondrej, Grim, Milos, Martan, Alois, Zvarova, Jana
Format: Article
Language:English
Subjects:
Gynecology
Medicine
Medicine & Public Health
Original Article
Standard deviation
Urinary incontinence
Urology
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cited_by cdi_FETCH-LOGICAL-c369t-92ee89ff12e84e92e5bce2172f4c411445de269f78bf82b0b1a3f4869e91b3dc3
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container_title International Urogynecology Journal
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creator Hubka, Petr
Masata, Jaromir
Nanka, Ondrej
Grim, Milos
Martan, Alois
Zvarova, Jana
description Objective The objective is to describe the anatomical localisation of tension-free vaginal tape Secur (TVT-S) in the H-position regarding possible injury of vessels and fixation site. Methods We placed TVT-S inserters bilaterally in 14 embalmed and five fresh frozen female bodies. After dissection, we measured distances from the obturator bundle (obturator nerve and obturator vessels). Results In embalmed bodies, the mean distance of TVT-S from the obturator bundle was 3.05 cm (standard deviation (SD) 1.18 cm) on the left, 3.07 cm (SD 1.17 cm) on the right. Perforation of the fascia of obturator internus muscle occurred in 46.4%. In fresh frozen bodies, results were fundamentally similar. Injury of variable vessels can occur. Conclusion There is a minimal risk of injury to the obturator bundle during TVT-S; however, there is a significant risk of inserting the TVT-S inserter into the obturator fossa. The position of TVT-S does not change significantly after legs mal-positioning.
doi_str_mv 10.1007/s00192-009-0815-z
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Methods We placed TVT-S inserters bilaterally in 14 embalmed and five fresh frozen female bodies. After dissection, we measured distances from the obturator bundle (obturator nerve and obturator vessels). Results In embalmed bodies, the mean distance of TVT-S from the obturator bundle was 3.05 cm (standard deviation (SD) 1.18 cm) on the left, 3.07 cm (SD 1.17 cm) on the right. Perforation of the fascia of obturator internus muscle occurred in 46.4%. In fresh frozen bodies, results were fundamentally similar. Injury of variable vessels can occur. Conclusion There is a minimal risk of injury to the obturator bundle during TVT-S; however, there is a significant risk of inserting the TVT-S inserter into the obturator fossa. 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Methods We placed TVT-S inserters bilaterally in 14 embalmed and five fresh frozen female bodies. After dissection, we measured distances from the obturator bundle (obturator nerve and obturator vessels). Results In embalmed bodies, the mean distance of TVT-S from the obturator bundle was 3.05 cm (standard deviation (SD) 1.18 cm) on the left, 3.07 cm (SD 1.17 cm) on the right. Perforation of the fascia of obturator internus muscle occurred in 46.4%. In fresh frozen bodies, results were fundamentally similar. Injury of variable vessels can occur. Conclusion There is a minimal risk of injury to the obturator bundle during TVT-S; however, there is a significant risk of inserting the TVT-S inserter into the obturator fossa. 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Methods We placed TVT-S inserters bilaterally in 14 embalmed and five fresh frozen female bodies. After dissection, we measured distances from the obturator bundle (obturator nerve and obturator vessels). Results In embalmed bodies, the mean distance of TVT-S from the obturator bundle was 3.05 cm (standard deviation (SD) 1.18 cm) on the left, 3.07 cm (SD 1.17 cm) on the right. Perforation of the fascia of obturator internus muscle occurred in 46.4%. In fresh frozen bodies, results were fundamentally similar. Injury of variable vessels can occur. Conclusion There is a minimal risk of injury to the obturator bundle during TVT-S; however, there is a significant risk of inserting the TVT-S inserter into the obturator fossa. The position of TVT-S does not change significantly after legs mal-positioning.</abstract><cop>London</cop><pub>Springer-Verlag</pub><doi>10.1007/s00192-009-0815-z</doi><tpages>8</tpages></addata></record>
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subjects Gynecology
Medicine
Medicine & Public Health
Original Article
Standard deviation
Urinary incontinence
Urology
title Anatomical relationship and fixation of tension-free vaginal tape Secur
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