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Archives of Gynecology and Obstetrics
Published in: Archives of Gynecology and Obstetrics 4/2011

01-10-2011 | General Gynecology

Anatomical study of position of the TVT-O to the obturator nerve influenced by the position of the legs during the procedure: based upon findings at formalin-embalmed and fresh-frozen bodies

Authors: Petr Hubka, Ondrej Nanka, Alois Martan, Kamil Svabik, Jana Zvarova, Jaromir Masata

Published in: Archives of Gynecology and Obstetrics | Issue 4/2011

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Abstract

Purpose

Groin pain is one of the complications after TVT-O procedure. The aim was to examine the position and safety of the tape after TVT-O procedure.

Methods

We inserted TVT-O in 14 formalin-embalmed bodies with legs malpositioned (group 1) and in 5 fresh-frozen bodies with legs malpositioned (group 2) and in 5 fresh-frozen bodies with legs correctly positioned (group 3). After dissection distances from the branches of obturator nerve were measured.

Results

In group 1, the mean distance from the anterior branch of the obturator nerve was 8.6 mm on the left, 7.1 mm on the right. Mean distance from the posterior branch of the obturator nerve was 8.4 mm on the left, 8.9 mm on the right. In group 2, the mean distance from the anterior branch of the obturator nerve was 8.0 mm on the left, 8.0 mm on the right. Mean distance from the posterior branch of the obturator nerve was 5.0 mm on the left, 8.00 mm on the right. In group 3, the mean distance from the anterior branch of the obturator nerve was 24 mm on the left, 23 mm on the right. Mean distance from the posterior branch of the obturator nerve was 23 mm on the left, 23 mm on the right. Statistical analysis was performed with confirmation of significant difference between group of bodies with legs positioned correctly and other groups with malpositioned legs.

Conclusions

The position of the legs is crucial for correct placement of TVT-O.
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Metadata
Title
Anatomical study of position of the TVT-O to the obturator nerve influenced by the position of the legs during the procedure: based upon findings at formalin-embalmed and fresh-frozen bodies
Authors
Petr Hubka
Ondrej Nanka
Alois Martan
Kamil Svabik
Jana Zvarova
Jaromir Masata
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 4/2011
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-010-1775-8

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