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International Urogynecology Journal
Published in: International Urogynecology Journal 7/2016

01-07-2016 | Original Article

TVT ABBREVO: cadaveric study of tape position in foramen obturatum and adductor region

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

Published in: International Urogynecology Journal | Issue 7/2016

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Abstract

Introduction and hypothesis

The aim of the study was to describe fixation of the TVT ABBREVO and establish whether the tape penetrates through obturator muscles and membrane (obturator complex) into the adductor region and, if so, how far it penetrates.

Methods

Eight formalin-embalmed female cadavers were used to simulate TVT ABBREVO surgery (totalling 16 insertions). Following tape insertion, dissection was performed and ends of the tape were identified. In cases of penetration, the length of tape penetrating into the adductor region was measured.

Results

Of the 16 cases, the tape ended in the obturator membrane in eight, in the internal obturator muscle in one, and penetrated through the obturator membrane into the external obturator muscle in five, where it remained. In two cases, it penetrated through the obturator internus muscle, obturator membrane and obturator externus muscle into the group of thigh adductors; one penetration was by 3 mm and the second by 10 mm. No contact with the obturator nerve or its branches was noted in any case.

Conclusions

No TVT contact with the obturator nerve was noted; tape penetrated into the adductor region in two of the 16 cases.
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Metadata
Title
TVT ABBREVO: cadaveric study of tape position in foramen obturatum and adductor region
Authors
Petr Hubka
Ondrej Nanka
Jaromir Masata
Alois Martan
Kamil Svabik
Publication date
01-07-2016
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 7/2016
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-015-2922-3

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