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Re: New transobturator sling reduces risk of injuryFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Thu Jul 31 06:35:00 2003
At Thu, 31 Jul 2003, Bernard Cristalli wrote: > >Any polypropylen mesh can do the trick. >You don't even need a needle for to go through the obturator hole is not >mandatory. > >-- >Bernard Cristalli MD AMACOG >AIHP - ACCA >Paris France >http://www.CliniquedelEssonne.fr >http://www.obgyn.net/corresp/cristalli.htm >http://www.gyneweb.fr >'64 Mk2 3.8 > >> De : johnprov@sympatico.ca (Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.) >> Répondre à : ob-gyn-l@obgyn.net >> Date : Wed, 30 Jul 2003 20:38:20 -0500 >> À : Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >> Objet : New transobturator sling reduces risk of injury >> >> I actually had a drug rep come by and show me the sling and needles last >> week. >> One size fits all; major draw back cost of sling about $600.00 Canadian >> dollars. >> I am sure this thing can't cost more than $20 dollars to manufacture. >> (Yes Company probably would like to set aside a reserve for lawsuits). I >> await the >> results of the first randomized trials, this procedure has the potential >> to >> replace a lot of the other retropubic sling procedures, Burch,MMK and >> laparoscopic suspensions. >> >> http://www.obgmanagement.com/content/obg_featurexml.asp?file=2003/07/obg_0703_ >> 00017.xml >> >> -- >> Take care, John >> It's more like a strip of polypropylene then a mesh, most vaginal mesh procedures are glorified kelly plication procedures they may work slightly better than a kelly plication but they are nowhere near as good as a burh or MMK. The strip is designed so that the edges are unidirectionally once you pull it through its very hard to pull out again, basically you can tighten the sling but its difficult to losenen it. Joe take out an anatomy text and have a look there really isn't anything there to be worried about. Once the needle enters just lateral to the pubic ramus its always pointing and traveling in a medial direction away from the vessels and nerves of the obturator foreamen, the idea is to meet the needle tip with the index finger of the vaginal hand.
--
Take care, John
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