Abstract
Objective: The objective of the study was to evaluate the anatomic relationships of anchor points of single-incision midurethral slings with 2 common placement trajectories. Study Design: In 30 female pelvic halves, a probe was introduced through a suburethral tunnel following 45° and 90° angle trajectories. The corresponding anchor points were tagged. Distances to the obturator canal, accessory obturator vessels, dorsal vein of clitoris, and external iliac vein were recorded. Results: Both suburethral tunnel trajectories and their respective anchor points remained caudad to the obturator internus muscle in 100% of dissections. The closest distance between either anchor point to the obturator canal was 1.6 cm. The closest distance from the 45° and 90° anchor points to the accessory obturator vessels was 1.6 and 1.5 cm, respectively. Conclusion: The anchor points of single-incision midurethral slings are in close proximity to vascular structures that could be injured with inadvertent entry into the retropubic space.
| Original language | English (US) |
|---|---|
| Journal | American Journal of Obstetrics and Gynecology |
| Volume | 208 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2013 |
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Keywords
- mesh
- minisling anchor points
- minisling injury
- minislings
ASJC Scopus subject areas
- Obstetrics and Gynecology
Cite this
Anatomic relationships of single-incision midurethral slings. / Montoya, T. Ignacio; Street, Jennifer J.; Corton, Marlene M.
In: American Journal of Obstetrics and Gynecology, Vol. 208, No. 1, 01.2013.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Anatomic relationships of single-incision midurethral slings
AU - Montoya, T. Ignacio
AU - Street, Jennifer J.
AU - Corton, Marlene M.
PY - 2013/1
Y1 - 2013/1
N2 - Objective: The objective of the study was to evaluate the anatomic relationships of anchor points of single-incision midurethral slings with 2 common placement trajectories. Study Design: In 30 female pelvic halves, a probe was introduced through a suburethral tunnel following 45° and 90° angle trajectories. The corresponding anchor points were tagged. Distances to the obturator canal, accessory obturator vessels, dorsal vein of clitoris, and external iliac vein were recorded. Results: Both suburethral tunnel trajectories and their respective anchor points remained caudad to the obturator internus muscle in 100% of dissections. The closest distance between either anchor point to the obturator canal was 1.6 cm. The closest distance from the 45° and 90° anchor points to the accessory obturator vessels was 1.6 and 1.5 cm, respectively. Conclusion: The anchor points of single-incision midurethral slings are in close proximity to vascular structures that could be injured with inadvertent entry into the retropubic space.
AB - Objective: The objective of the study was to evaluate the anatomic relationships of anchor points of single-incision midurethral slings with 2 common placement trajectories. Study Design: In 30 female pelvic halves, a probe was introduced through a suburethral tunnel following 45° and 90° angle trajectories. The corresponding anchor points were tagged. Distances to the obturator canal, accessory obturator vessels, dorsal vein of clitoris, and external iliac vein were recorded. Results: Both suburethral tunnel trajectories and their respective anchor points remained caudad to the obturator internus muscle in 100% of dissections. The closest distance between either anchor point to the obturator canal was 1.6 cm. The closest distance from the 45° and 90° anchor points to the accessory obturator vessels was 1.6 and 1.5 cm, respectively. Conclusion: The anchor points of single-incision midurethral slings are in close proximity to vascular structures that could be injured with inadvertent entry into the retropubic space.
KW - mesh
KW - minisling anchor points
KW - minisling injury
KW - minislings
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U2 - 10.1016/j.ajog.2012.10.004
DO - 10.1016/j.ajog.2012.10.004
M3 - Article
VL - 208
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 1
ER -