Translevator posterior intravaginal slingplasty: anatomical landmarks and safety margins.
Int Urogynecol J Pelvic Floor Dysfunct
; 16(5): 364-8, 2005.
Article
em En
| MEDLINE
| ID: mdl-16211422
ABSTRACT
The posterior intravaginal sling is a new tension-free needle suspension technique. It is used for the treatment of middle compartment (vaginal vault or uterine) prolapse. The Prolene sling suspends the vagina at the upper border of level II support as described by DeLancey (Am J Obstet Gynecol 1661717, 1992). Human cadaveric dissections were undertaken to explore the pertinent anatomy that is involved when using this blind needle technique. Pre-dissected cadaveric material was used to obtain didactic illustrations of the anatomy of the procedure. Description of the surgical technique using anatomical landmarks and relative distances of the needle to these landmarks will improve the surgeon's visual understanding of the procedure. The measurements obtained demonstrate that the needle stays at a minimal distance of 4 cm away from the major (pudendal) vessels that could potentially cause life-threatening haemorrhage.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pelve
/
Telas Cirúrgicas
/
Incontinência Urinária por Estresse
/
Prolapso Uterino
/
Implantação de Prótese
Tipo de estudo:
Etiology_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Int Urogynecol J Pelvic Floor Dysfunct
Assunto da revista:
GINECOLOGIA
/
UROLOGIA
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Bélgica