Document Detail


The Tissue Fixation System provides a new structural method for cystocoele repair: a preliminary report.
MedLine Citation:
PMID:  17116050     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A new reconstruction principle that uses tensioned tapes instead of large mesh is described for cystocoele repair. AIM: To apply this method to patients with central, paravaginal and cervical ring defects. METHODS: Ninety patients, mean age 63 years (29-83) and mean weight 73 kg (52-117 kg), underwent cystocoele repair using the Tissue Fixation System (TFS). Tapes were applied as a retro-obturator U-sling (n=29), transversely between both arcus tendineus fascia pelvis (ATFP) ligaments (n=45), along the path of the cardinal ligament in patients with cervical ring defects (n=12), and longitudinally along the ATFP ligament (n=4). RESULTS: At mean eight months review (three to 15 months), two failures were reported. There was one haematoma that drained spontaneously at seven days, and there were no erosions. Mean hospital stay was one a half days for the Australian group (one to seven days) and five days (four to eight days) for the European group. After using single U-sling, one patient required intermittent catheterisation for seven days before she could pass urine freely. In one patient the bladder was perforated during dissection laterally towards the ATFP; the perforation was successfully repaired. CONCLUSIONS: The tensioned tape operation is simple and accurate, and appears to work well in the short term. Longer-term studies are required.
Authors:
Peter E P Petros; Peter A Richardson; Klaus Goeschen; Burghard Abendstein
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  46     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-22     Completed Date:  2007-02-13     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  474-8     Citation Subset:  IM    
Affiliation:
Royal Perth Hospital, Perth, and University of Western Australia, Australia. kvinno@highway1.com.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cystocele / surgery*
Fascia / surgery
Female
Gynecologic Surgical Procedures / methods*
Humans
Middle Aged
Surgical Tape*
Urologic Surgical Procedures / methods*
Uterine Cervical Diseases / surgery
Vaginal Diseases / surgery

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


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