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Injury from trocars during vaginal mesh

John E Jelovsek, Andrew I Sokol, Matthew D Barber, Marie Fidela R Paraiso, Mark D Walters
OBJECTIVE: The purpose of this study was to describe the distances of the major bony, vascular, neurologic, and visceral structures to the path of the infracoccygeal sacropexy trocar and to determine the point of trocar entry into the vagina. STUDY DESIGN: Infracoccygeal sacropexy trocars were inserted bilaterally into 6 fresh frozen cadavers. Dissection was performed and the maximal length of the vagina, ischiorectal fossa, and pararectal spaces were measured bilaterally...
December 2005: American Journal of Obstetrics and Gynecology
Chyi-Long Lee, Chih-Feng Yen, Chin-Jung Wang, Pei-Shan Lee, Hsiao-Chen Chiu
STUDY OBJECTIVE: To evaluate 3-year outcomes of trocar-assisted sling suspension (TASS) for genuine stress incontinence. DESIGN: Retrospective review (Canadian Task Force classification II-2). SETTING: University-based, tertiary-level center for endoscopic surgery. PATIENTS: One hundred forty women with genuine stress incontinence with bladder neck hypermobility. INTERVENTION: After standard surgery preparation and general endotracheal anesthesia, TASS was performed...
November 2004: Journal of the American Association of Gynecologic Laparoscopists
Alex C Wang
BACKGROUND: To determine the frequency of lower urinary tract (LUT) injury for stress incontinent women undergoing the tension-free vaginal tape (TVT) procedure with or without concomitant procedures. METHODS: Over a period of 5 years, 600 women who had stress urinary incontinence (SUI), with or without pelvic prolapse, consecutively underwent the TVT procedure either with or without concomitant surgery. All study subjects underwent intraoperative transurethral urethrocystoscopy...
March 2004: Acta Obstetricia et Gynecologica Scandinavica
S Abbas Shobeiri, Alan D Garely, Ralph R Chesson, Thomas E Nolan
OBJECTIVE: To identify signs and the etiology of occult bladder injury during the tension-free vaginal tape sling procedure. METHOD: The charts of 140 women who underwent a tension-free vaginal tape procedure were reviewed, and complications were tabulated and analyzed. The tension-free vaginal tape procedure was performed in six fresh-frozen pelves to demonstrate the mechanism of the occult bladder injury. RESULTS: Occult bladder injury was suspected when cystoscopy instillation fluid flowed from the plastic sheath that covers the prolene tape after the extraction of the tension-free vaginal tape trocar...
June 2002: Obstetrics and Gynecology
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