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A new minimally invasive treatment option for stress urinary incontinence in women: TVT Abbrevo, a shorter sling with an inside-out transobturator approach.
Surg Technol Int. 2013 Sep; 23:176-80.ST

Abstract

The aim of this article is to present a new, modified shorter obturator sling with an inside-out transobturator trajectory for the treatment of female stress urinary incontinence (SUI). It is a method that proves efficient, is reproducible, and is associated with less postoperative pain when compared with the conventional method. The modified procedure involves the use of less tape and reduced dissection in the obturator space, while pursuing a more medial approach. Tape length was shortened, with placement of non-absorbable suture loops at either end to adjust the sling. At the mid-portion of the sling, a removable loop suture ensures equidistance. This is the only mini-sling that can be adjusted allowing one to modify terminal placement along an anterior/posterior axis. The incidence of immediate postoperative groin pain was reduced by 35% in the modified technique as compared with the original inside-out transobturator approach. There was also reduction of immediate pain severity by +/- 50%. In addition, the modified approach required less analgesics, less time in the operating room, and a shortened time until discharge home.

Authors+Show Affiliations

rinitas Regional Medical Center Elizabeth, New Jersey.Department of Obstetrics and Gynecology Lenox Hill Hospital New York, New York.

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

23860932

Citation

Riachi, Labib, and Karli Provost. "A New Minimally Invasive Treatment Option for Stress Urinary Incontinence in Women: TVT Abbrevo, a Shorter Sling With an Inside-out Transobturator Approach." Surgical Technology International, vol. 23, 2013, pp. 176-80.
Riachi L, Provost K. A new minimally invasive treatment option for stress urinary incontinence in women: TVT Abbrevo, a shorter sling with an inside-out transobturator approach. Surg Technol Int. 2013;23:176-80.
Riachi, L., & Provost, K. (2013). A new minimally invasive treatment option for stress urinary incontinence in women: TVT Abbrevo, a shorter sling with an inside-out transobturator approach. Surgical Technology International, 23, 176-80.
Riachi L, Provost K. A New Minimally Invasive Treatment Option for Stress Urinary Incontinence in Women: TVT Abbrevo, a Shorter Sling With an Inside-out Transobturator Approach. Surg Technol Int. 2013;23:176-80. PubMed PMID: 23860932.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A new minimally invasive treatment option for stress urinary incontinence in women: TVT Abbrevo, a shorter sling with an inside-out transobturator approach. AU - Riachi,Labib, AU - Provost,Karli, PY - 2013/7/18/entrez PY - 2013/7/19/pubmed PY - 2014/4/4/medline SP - 176 EP - 80 JF - Surgical technology international JO - Surg Technol Int VL - 23 N2 - The aim of this article is to present a new, modified shorter obturator sling with an inside-out transobturator trajectory for the treatment of female stress urinary incontinence (SUI). It is a method that proves efficient, is reproducible, and is associated with less postoperative pain when compared with the conventional method. The modified procedure involves the use of less tape and reduced dissection in the obturator space, while pursuing a more medial approach. Tape length was shortened, with placement of non-absorbable suture loops at either end to adjust the sling. At the mid-portion of the sling, a removable loop suture ensures equidistance. This is the only mini-sling that can be adjusted allowing one to modify terminal placement along an anterior/posterior axis. The incidence of immediate postoperative groin pain was reduced by 35% in the modified technique as compared with the original inside-out transobturator approach. There was also reduction of immediate pain severity by +/- 50%. In addition, the modified approach required less analgesics, less time in the operating room, and a shortened time until discharge home. SN - 1090-3941 UR - https://www.unboundmedicine.com/medline/citation/23860932/A_new_minimally_invasive_treatment_option_for_stress_urinary_incontinence_in_women:_TVT_Abbrevo_a_shorter_sling_with_an_inside_out_transobturator_approach_ L2 - http://surgicaltechnology.com/23-Gynecology.htm#176 DB - PRIME DP - Unbound Medicine ER -