Anatomic study of prolapse surgery with nonanchored mesh and a vaginal support device.
OBJECTIVE
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.


METHODS
We undertook anatomic dissection of 6 cadavers, with and without prolapse after surgery.


RESULTS
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.


CONCLUSIONS
Anatomic cadaver dissection confirmed the accurate and safe placement of the polypropylene implants with the use of the prescribed surgical technique.
Reisenauer
Christl
C
Department of Obstetrics and Gynecology, University Hospital Tübingen, Tübingen, Germany. christl.reisenauer@med.uni-tuebingen.de
Shiozawa
Thomas
T
Huebner
Markus
M
Slack
Mark
M
Carey
Marcus P
MP
D002102:Cadaver; D005260:Female; D006801:Humans; D017773:Pelvic Floor / Q000033:anatomy & histology* / Q000601:surgery; D011474:Prosthesis Design; D053825:Suburethral Slings; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000033:anatomy & histology* / Q000601:surgery