Abstract
Purpose
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.
Methods
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.
Results
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.
Conclusions
The position of the legs is crucial for correct placement of TVT-O.
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Acknowledgments
I would like to thank to I. Vítková MD, Chief of Institute of Pathology of the First Faculty of Medicine and General Teaching Hospital, for allowing us to perform research at the Institute of Pathology, for scheduling the dissections and coping with our demands. This study was supported by the Internal Grant Agency of The Ministry of Health of the Czech Republic, grant NS 10586-3/2009, GIGH-0651-00-3-223 and by project of The Ministry of Education, Youth and Sports VZ 0021620806.
Conflict of interest
Martan A. is perceptor of Gynecare.
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Hubka, P., Nanka, O., Martan, A. et al. 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. Arch Gynecol Obstet 284, 901–905 (2011). https://doi.org/10.1007/s00404-010-1775-8
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DOI: https://doi.org/10.1007/s00404-010-1775-8