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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/4058

Title: Anatomical variability in the trajectory of the inside-out transobturator vaginal tape technique (TVT-O)
Authors: HINOUL, Piet
VANORMELINGEN, Linda
Roovers, Jan-Paul
DE JONGE, Eric
Smajda, Stefan
Issue Date: 2007
Publisher: SPRINGER LONDON LTD
Citation: INTERNATIONAL UROGYNECOLOGY JOURNAL, 18(10). p. 1201-1206
Abstract: An experimental surgical study on human cadavers was undertaken to assess variability in the trajectory followed by the needle during application of the inside-out transobturator tape suspension (TVT-O) technique. The TVT-O surgical procedures were performed on six fresh female cadavers according to the standard recommended operative protocol. Subsequent anatomical dissection revealed that the needle had perforated the obturator membrane at a distance of 0.7 to 2.0 cm from the needle to the obturator canal. It subsequently followed a variable course passing at 0.5 to 2.0 cm from the anterior branch of the obturator nerve and 0.1 to 1.4 cm from the posterior branch. We conclude from this anatomical study that the TVT-O trajectory is subject to wider variability than was originally postulated.
Notes: Ziekenhuis Oost Limburg, Dept Obstet & Gynaecol, B-3600 Genk, Belgium. Univ Hasselt, Dept Human Anat, B-3590 Diepenbeek, Belgium. Univ Amsterdam, Acad Med Ctr, Dept Obstet & Gynaecol, NL-1105 AZ Amsterdam, Netherlands. Clin St Anne St Remi, Dept Obstet & Gynaecol, B-1070 Brussels, Belgium.Hinoul, P, Ziekenhuis Oost Limburg, Dept Obstet & Gynaecol, B-3600 Genk, Belgium.piet.hinoul@skynet.be
URI: http://hdl.handle.net/1942/4058
DOI: 10.1007/s00192-007-0303-2
ISI #: 000249871800013
ISSN: 0937-3462
Category: A1
Type: Journal Contribution
Validation: ecoom, 2008
Appears in Collections: Research publications

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