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International Urogynecology Journal

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01-12-2013 | Original Article

Fixation of the Ajust minisling based upon cadaveric study

Authors: Petr Hubka, Ondrej Nanka, Alois Martan, Kamil Svabik, Rachid El-Haddad, Jaromir Masata

Published in: International Urogynecology Journal | Issue 12/2013

Abstract

Introduction and hypothesis

The objective was to describe the fixation site of the anchor of the Ajust mid-urethral minisling.

Methods

This cadaveric study was based on a group of 11 formalin-embalmed bodies with legs positioned in 30° flexion and 30° abduction, and a group of five fresh-frozen bodies with legs positioned as normal during the procedure. The groups were later compared. The fixation site was dissected and described. The distance to the obturator bundle was considered as the primary safety parameter. To compare the groups of fresh-frozen bodies and formalin-embalmed bodies, the Student’s t test and Mann–Whitney test were used.

Results

In the group of formalin-embalmed bodies the mean distance from the anchoring device to the obturator nerve was 4.23 cm. In 19 cases out of 22 the anchor was within the complex of the obturator membrane and obturator muscles. In the group of fresh frozen bodies the mean distance to the obturator nerve was 3.15 cm. In 9 cases out of 10 the anchor was in the complex of the obturator membrane and obturator muscles.

Conclusion

The distance from the anchor to the obturator nerve was more than 2 cm in all cases. Correct placement in the obturator membrane was achieved in 65.6 % of cases. In 87.5 % of cases the anchor was placed within the complex of obturator membrane and obturator muscles.

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Title: Fixation of the Ajust minisling based upon cadaveric study
Authors: Petr Hubka
Ondrej Nanka
Alois Martan
Kamil Svabik
Rachid El-Haddad
Jaromir Masata
Publication date: 01-12-2013
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 12/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-013-2139-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Fixation of the Ajust minisling based upon cadaveric study

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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