Are the same tapes really the same? Ultrasound study of laser-cut and mechanically cut TVT-O post-operative behavior

. 2018 Sep ; 29 (9) : 1335-1340. [epub] 20171125

Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid29177544

Grantová podpora
LO1503 Lékařská Fakulta v Plzni, Univerzita Karlova - International
Progres Q39 Lékařská Fakulta v Plzni, Univerzita Karlova - International
UNCE 204024 Univerzita Karlova v Praze - International
UNCE 204024 Univerzita Karlova v Praze - International
UNCE 204024 Univerzita Karlova v Praze - International
UNCE 204024 Univerzita Karlova v Praze - International

Odkazy

PubMed 29177544
DOI 10.1007/s00192-017-3516-z
PII: 10.1007/s00192-017-3516-z
Knihovny.cz E-zdroje

INTRODUCTION AND HYPOTHESIS: TVT-O production has been modified to laser cutting from mechanical cutting. We compared the behavior of laser and mechanically cut tension-free vaginal tape-obturator (TVT-O) using ultrasound at various time points after surgery. METHODS: This is a retrospective analysis of clinical and ultrasound data from two previously reported randomized controlled trials with TVT-O. Behavior of mechanically cut TVT-O implanted in January 2007 to November 2009 and laser-cut TVT-O implanted in May 2010 to May 2012 was assessed by ultrasound at day 1, the 2nd week, the 3rd month, and the 1st and 2nd years post-operatively. Bladder neck and tape margins positions were described by coordinates in the orthogonal system calculated from polar coordinates. Tape mobility was measured as a change in the upper and lower tape margin position from rest to maximal Valsalva. Comparison of 2-year subjective and objective surgery outcomes was also performed. RESULTS: In total, 68 mechanically cut and 50 laser-cut TVT-Os were implanted. Follow-up data were available from 49 and 45 women respectively. No differences in any baseline characteristics or bladder neck mobility were observed. Significantly lower tape mobility was observed on day 1 and week 2 after mechanically cut TVT-O, although subsequent mobility was comparable to laser-cut TVT-O. The subjective and objective surgery outcomes were comparable. CONCLUSIONS: Although without clinical significance, early postoperative behavior of the mechanically cut and laser-cut TVT-O tapes differs. The less stiff, mechanically-cut TVT-O loosens within 2 weeks of implantation, whereas the stiffer, laser-cut TVT-O keeps its tension.

Zobrazit více v PubMed

Int Urogynecol J. 2012 Oct;23(10):1403-12 PubMed

Eur Urol. 2003 Dec;44(6):724-30 PubMed

Neurourol Urodyn. 2012 Jan;31(1):13-21 PubMed

Ultrasound Obstet Gynecol. 2004 Mar;23(3):267-71 PubMed

Int Urogynecol J. 2016 Jul;27(7):1039-45 PubMed

Int Urogynecol J. 2016 Oct;27(10):1497-505 PubMed

Int Urogynecol J Pelvic Floor Dysfunct. 2008 May;19(5):655-63 PubMed

Biom J. 2008 Jun;50(3):346-63 PubMed

Cochrane Database Syst Rev. 2017 Jul 26;7:CD008709 PubMed

Int Urogynecol J Pelvic Floor Dysfunct. 2006 Jun;17 Suppl 1:S16-25 PubMed

Eur Urol. 2007 Sep;52(3):663-78 PubMed

Int Urogynecol J. 2014 Jan;25(1):103-7 PubMed

Ultrasound Obstet Gynecol. 2006 Aug;28(2):221-8 PubMed

Nejnovějších 20 citací...

Zobrazit více v
Medvik | PubMed

What is the optimal length for single-incision tape?

. 2019 Dec ; 30 (12) : 2171-2175. [epub] 20190403

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...