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Am J Obstet Gynecol. 2010 Dec;203(6):590.e1-7. doi: 10.1016/j.ajog.2010.08.005. Epub 2010 Sep 22.

Anatomic study of prolapse surgery with nonanchored mesh and a vaginal support device.

Author information

1
Department of Obstetrics and Gynecology, University Hospital Tübingen, Tübingen, Germany. christl.reisenauer@med.uni-tuebingen.de

Abstract

OBJECTIVE:

The purpose of this study was to evaluate the anatomic position and relations to neighboring neurovascular structures of polypropylene implants after vaginal repair with nonanchored mesh and a vaginal support device in a cadaver model.

STUDY DESIGN:

We undertook anatomic dissection of 6 cadavers, with and without prolapse after surgery.

RESULTS:

All polypropylene implants were positioned in accordance with the prescribed surgical technique. This surgery reconstructed the entire anterior and posterior pelvic floor compartments without extension beyond the pelvic cavity. A safe distance between the implants and their neighboring neurovascular structures (obturator nerve and vessels, 2.8-3.3 cm; pudendal nerve and internal pudendal vessels, 1.8-2.2 cm; sacral plexus, 2-2.2 cm) was observed.

CONCLUSION:

Anatomic cadaver dissection confirmed the accurate and safe placement of the polypropylene implants with the use of the prescribed surgical technique.

PMID:
20863479
DOI:
10.1016/j.ajog.2010.08.005
[Indexed for MEDLINE]

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