Department of Obstetrics and Gynecology, University Hospital Tübingen, Tübingen, Germany.
Am J Obstet Gynecol. 2010 Dec;203(6):590.e1-7. doi: 10.1016/j.ajog.2010.08.005. Epub 2010 Sep 22.
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.
We undertook anatomic dissection of 6 cadavers, with and without prolapse after surgery.
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.
Anatomic cadaver dissection confirmed the accurate and safe placement of the polypropylene implants with the use of the prescribed surgical technique.
本研究旨在评估阴道修复术后非锚固网片和阴道支撑装置中聚丙烯植入物的解剖位置及其与邻近神经血管结构的关系。
我们对 6 具尸体进行了解剖，其中一些有脱垂，一些没有。
所有聚丙烯植入物均按规定手术技术定位。该手术重建了整个前盆腔和后盆腔，没有超出盆腔。植入物与其邻近神经血管结构（闭孔神经和血管，2.8-3.3cm；阴部神经和阴部内血管，1.8-2.2cm；骶丛，2-2.2cm）之间存在安全距离。
解剖尸体解剖证实了使用规定手术技术准确、安全地放置聚丙烯植入物。
