Document Detail


Anatomy of the obturator region: relations to a trans-obturator sling.
MedLine Citation:
PMID:  15517664     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our objective was to determine the relationships between a trans-obturator sling and anatomic structures within the obturator region. The obturator regions of six cadavers were dissected and distances from the mid-point of the ischiopubic ramus to the muscles, nerves, and vessels of the region were measured. A trans-obturator sling was placed and distances from the device to the same anatomic structures were determined. Four additional cadavers were dissected to determine the device route of passage. The obturator canal is on average 4.4 cm from the midpoint of the ischiopubic rami. The trans-obturator sling passes on average 2.4 cm inferior-medial to the obturator canal. The anterior and posterior divisions of the obturator nerve are on average 3.4 and 2.8 cm, respectively, from a passed trans-obturator device. The device passed on average 1.1 cm from the most medial branch of the obturator vessels. Vascular and nerve structures are within 1-3 cm of the path of any device passed through the obturator foramen. A trans-obturator sling risks injury to these structures, although the small caliber of the vessels and the confined space in which they would bleed make the consequences of injury uncertain.
Authors:
James L Whiteside; Mark D Walters
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  15     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2004-11-01     Completed Date:  2004-11-30     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  223-6     Citation Subset:  IM    
Affiliation:
The Cleveland Clinic Foundation, Department of Obstetrics and Gynecology, 9500 Euclid Avenue, Cleveland, OH 44195, USA. whitesjl@ccf.org
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MeSH Terms
Descriptor/Qualifier:
Cadaver
Dissection
Female
Hernia, Obturator / surgery
Humans
Muscle, Skeletal / anatomy & histology*,  physiology
Obturator Nerve / anatomy & histology
Pelvic Floor / anatomy & histology*
Perineum / anatomy & histology
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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