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TVT-S in the U Position - Anatomical Study
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SYSNO ASEP 0358315 Druh ASEP J - Článek v odborném periodiku Zařazení RIV J - Článek v odborném periodiku Poddruh J Článek ve WOS Název TVT-S in the U Position - Anatomical Study Tvůrce(i) Hubka, P. (CZ)
Naňka, O. (CZ)
Martan, A. (CZ)
Grim, M. (CZ)
Zvárová, Jana (UIVT-O) SAI, RID, ORCID
Mašata, J. (CZ)Zdroj.dok. International Urogynecology Journal - ISSN 0937-3462
Roč. 22, č. 2 (2011), s. 241-246Poč.str. 6 s. Jazyk dok. eng - angličtina Země vyd. GB - Velká Británie Klíč. slova anatomy ; female ; obturator bundle ; stress urinary incontinence ; tension-free vaginal tape Vědní obor RIV FK - Gynekologie a porodnictví CEZ AV0Z10300504 - UIVT-O (2005-2011) UT WOS 000286467700017 EID SCOPUS 79951642766 DOI 10.1007/s00192-010-1239-5 Anotace INTRODUCTION AND HYPOTHESIS: The objective is to describe the anatomical position of tension-free vaginal tape Secur (TVT-S) in the U position regarding possible injury and fixation site. METHODS: We placed TVT-S inserters bilaterally in 13 embalmed and five fresh frozen female bodies. After dissection, we measured distances from the obturator bundle. RESULTS: In embalmed bodies, the mean distance of TVT-S from the obturator bundle was 2.83 cm (standard deviation (SD) 0.87 cm) on the left, 2.92 cm (SD 1.24 cm) on the right. Perforation of the fascia of obturator internus muscle occurred in 38.5%. In fresh frozen bodies, results were fundamentally similar (p > 0.05). CONCLUSIONS: There is a risk of injury to the obturator bundle and urinary bladder during TVT-S; however, there is a significant risk of inserting the TVT-S inserter outside the obturator internus muscle (into the lesser pelvis). The position of TVT-S does not change significantly after legs mal-positioning. Pracoviště Ústav informatiky Kontakt Tereza Šírová, sirova@cs.cas.cz, Tel.: 266 053 800 Rok sběru 2012
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