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Anatomic relationships of the tension-free vaginal mesh trocars.

Publication ,  Journal Article
Chen, CCG; Gustilo-Ashby, AM; Jelovsek, JE; Paraiso, MFR
Published in: Am J Obstet Gynecol
December 2007

OBJECTIVE: The objective of the study was to describe the distances between the major anatomic structures to the path of the tension-free vaginal mesh (TVM) trocars. STUDY DESIGN: Four anterior transobturator and 2 posterior ischiorectal TVM trocars were inserted bilaterally into 8 fresh frozen cadavers. Dissections were performed and mean distances (95% confidence interval) were measured between the closest points along the trocar's path and significant anatomic structures. RESULTS: The mean distances between both anterior transobturator trocars and the medial branch of the obturator vessels were 0.8 cm (range, 0.6 to 1.0) and 0.7 cm (range, 0.4 to 1.1), and bladder were 0.7 cm (range, 0.5 to 0.9) and 1.3 cm (range, 0.8 to 1.9), respectively. The mean distances between the posterior trocar and the rectum and inferior rectal vessels were 0.8 cm (range, 0.6 to 1.0) and 0.9 cm (range, 0.7 to 1.1), respectively. CONCLUSION: The bladder and medial branch of the obturator vessel may be at risk of injury during the passage of the anterior trocars, whereas the rectum and inferior rectal vessels may be at risk during the passage of the posterior trocar.

Duke Scholars

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

December 2007

Volume

197

Issue

6

Start / End Page

666.e1 / 666.e6

Location

United States

Related Subject Headings

  • Vagina
  • Uterine Prolapse
  • Urinary Bladder
  • Surgical Instruments
  • Suburethral Slings
  • Rectum
  • Obstetrics & Reproductive Medicine
  • Humans
  • Gynecologic Surgical Procedures
  • Female
 

Citation

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ICMJE
MLA
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Chen, C. C. G., Gustilo-Ashby, A. M., Jelovsek, J. E., & Paraiso, M. F. R. (2007). Anatomic relationships of the tension-free vaginal mesh trocars. Am J Obstet Gynecol, 197(6), 666.e1-666.e6. https://doi.org/10.1016/j.ajog.2007.08.069
Chen, Chi Chiung Grace, Arlan Marcus Gustilo-Ashby, John Eric Jelovsek, and Marie Fidela R. Paraiso. “Anatomic relationships of the tension-free vaginal mesh trocars.Am J Obstet Gynecol 197, no. 6 (December 2007): 666.e1-666.e6. https://doi.org/10.1016/j.ajog.2007.08.069.
Chen CCG, Gustilo-Ashby AM, Jelovsek JE, Paraiso MFR. Anatomic relationships of the tension-free vaginal mesh trocars. Am J Obstet Gynecol. 2007 Dec;197(6):666.e1-666.e6.
Chen, Chi Chiung Grace, et al. “Anatomic relationships of the tension-free vaginal mesh trocars.Am J Obstet Gynecol, vol. 197, no. 6, Dec. 2007, pp. 666.e1-666.e6. Pubmed, doi:10.1016/j.ajog.2007.08.069.
Chen CCG, Gustilo-Ashby AM, Jelovsek JE, Paraiso MFR. Anatomic relationships of the tension-free vaginal mesh trocars. Am J Obstet Gynecol. 2007 Dec;197(6):666.e1-666.e6.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

December 2007

Volume

197

Issue

6

Start / End Page

666.e1 / 666.e6

Location

United States

Related Subject Headings

  • Vagina
  • Uterine Prolapse
  • Urinary Bladder
  • Surgical Instruments
  • Suburethral Slings
  • Rectum
  • Obstetrics & Reproductive Medicine
  • Humans
  • Gynecologic Surgical Procedures
  • Female