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International Urogynecology Journal
Erschienen in: International Urogynecology Journal 8/2011

01.08.2011 | Original Article

An anatomic comparison of the original versus a modified inside-out transobturator procedure

verfasst von: Piet Hinoul, Pierre Bonnet, Ladislav Krofta, David Waltregny, Jean de Leval

Erschienen in: International Urogynecology Journal | Ausgabe 8/2011

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Abstract

Introduction and hypothesis

The objective of this study was to evaluate the modification of a shortened tape and reduced dissection of the inside-out transobturator procedure on the tape’s relationship to the relevant anatomical structures.

Methods

In ten fresh frozen cadavers, relevant distances between the two different tapes and anatomical structures were recorded.

Results

The shorter tape traversed less muscular structures, but consistently traversed the obturator membrane. The median distance from the tape to the obturator canal measured 2.0 versus 1.9 cm, to the anterior obturator nerve 3.0 versus 2.7 cm, and to the posterior obturator nerve 2.2 versus 2.0 cm [modified versus original procedure, respectively (p > 0.05)]. Significantly, less mesh was inserted in the modified procedure on each side of the body (6.1 versus 9.9 cm, p < 0.05).

Conclusions

The shorter, inside-out transobturator tape traverses less muscular structures than its original counterpart, while still consistently anchoring in the obturator membrane at a similarly safe distance from the obturator canal.
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Metadaten
Titel
An anatomic comparison of the original versus a modified inside-out transobturator procedure
verfasst von
Piet Hinoul
Pierre Bonnet
Ladislav Krofta
David Waltregny
Jean de Leval
Publikationsdatum
01.08.2011
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 8/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1415-2

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