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International Urogynecology Journal

Published in:

01-06-2009 | Original Article

Anatomical relationship and fixation of tension-free vaginal tape Secur

Authors: Petr Hubka, Jaromir Masata, Ondrej Nanka, Milos Grim, Alois Martan, Jana Zvarova

Published in: International Urogynecology Journal | Issue 6/2009

Abstract

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.

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Title: Anatomical relationship and fixation of tension-free vaginal tape Secur
Authors: Petr Hubka
Jaromir Masata
Ondrej Nanka
Milos Grim
Alois Martan
Jana Zvarova
Publication date: 01-06-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0815-z

At a glance: The STEP trials

Springer Medicine

Anatomical relationship and fixation of tension-free vaginal tape Secur

Abstract

Objective

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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