PMID: 22555032May 5, 2012Paper

Primary fixation of mini slings: a comparative biomechanical study in vivo

International Braz J Urol : Official Journal of the Brazilian Society of Urology
P PalmaC Riccetto

Abstract

The mini sling concept for stress urinary incontinence is an anatomical approach that involves placing a midurethral low-tension tape anchored to the obturator internus muscles bilaterally. They overcome the blind passage of long needles and all the related complications. There are many different devices available and because these are outpatient procedures, primary fixation plays an important role in the outcome. The objective is to evaluate the primary fixation of the various devices of attachment of the commercially available mini-slings through biomechanical tests. A total of 45 Wistar rats were divided in 3 groups of 15 rats each. They underwent 5 subcutaneous implantation of different mini slings and one polipropilene mesh (control), as follows: TVT-Secur® (Gynecare, USA), Type 1 polypropylene mesh (control); Ophira Mini Sling System ® (Promedon, Argentina), Tissue Fixation System ® (TFS PTY, Australia), Zipper Sling ® and ″T device″ (Prosurg, USA). The abdominal wall was removed on bloc at different times after implant for biomechanical evaluation, which consisted in application of unidirectional force to the extremity of the fixation system or mesh, until it was completely removed from the tissue using a tension meter (...Continue Reading

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Citations

May 7, 2013·International Urogynecology Journal·Rodrigo Teixeira SiniscalchiCassio Luiz Zanettini Riccetto
Oct 12, 2013·Chemistry : a European Journal·Ulf Scheffler, Rainer Mahrwald
May 7, 2020·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M Henry de VilleneuveL Wagner

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