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

0435336 - ÚI 2015 DE eng J - Journal Article
Hubka, P. - Naňka, O. - Martan, A. - Švabík, K. - Zvárová, Jana - Mašata, J.
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.
Archives of Gynecology and Obstetrics. Roč. 284, č. 4 (2011), s. 901-905. ISSN 0932-0067. E-ISSN 1432-0711
Institutional research plan: CEZ:AV0Z10300504
Keywords : Anatomy * Female stress urinary incontinence * Surgical complications * Tension-free vaginal tape transobturator
Subject RIV: FK - Gynaecology, Childbirth
Impact factor: 1.277, year: 2011

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. 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. 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.
Permanent Link: http://hdl.handle.net/11104/0239190