Transvaginal Sling Release With Intraoperative Ultrasound Guidance

Mukati, Marium; Shobeiri, S. Abbās

doi:10.1097/spv.0b013e318285bbed

Cited by 6 publications

(2 citation statements)

References 6 publications

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“…Although ultrasound has been used intraoperatively in TVT, it has only been applied to post-surgical complications, mainly to excision or lysis of tapes, taking advantage of the ease of locating them with ultrasound. 20 Among the weaknesses of this study, we found that ultrasound is a technique that is very highly operator-dependent and with a long learning curve; in our case, all the tapes were placed by the same surgeon, who has extensive experience with ultrasound in TVT-O control. This could imply that our results cannot be extrapolated to surgeons without this expertise in ultrasound.…”

Section: Discussionmentioning

confidence: 85%

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Use of intraoperative ultrasound to improve tension‐free vaginal tape‐obturator placement: A pilot study

González-Díaz

Fernández-Llamas

Corral

et al. 2023

Intl J Gynecology & Obste

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Objective To evaluate the use of intraoperative ultrasound (IUS) to achieve a postoperative optimal placement of the tension‐free vaginal tape‐obturator (TVT‐O). Methods A cohort study was performed among women who underwent TVT‐O placement. In 25 women, ultrasound was used for the placement, and based on current evidence, the optimal intraoperative and postoperative ultrasound pattern was selected. They were compared with 25 women where IUS was not used. Results IUS increased operative time (by 7.5 min), and in 36% (9/25) of cases it was necessary to perform some corrections based on the ultrasound findings. After 1 month, in patients of the IUS group, the tapes were more frequently placed at a distance of 3–5 mm (P = 0.01), and it was more common for it to be placed between 40% and 70% relative to the urethral length (P = 0.011). Of tapes placed with IUS, 76% (met the optimal postoperative ultrasound pattern, as opposed to only 48% placed without IUS (P = 0.041). No differences were found in the complications or the functional results at 1 month post‐surgery. Conclusion The use of IUS for the placement of TVT‐O allows us to position them optimally and avoid erroneous placements, although IUS increases the operative time without improving the functional results and the rate of complications.

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Section: Discussionmentioning

confidence: 85%

“…Although ultrasound has been used intraoperatively in TVT, it has only been applied to post‐surgical complications, mainly to excision or lysis of tapes, taking advantage of the ease of locating them with ultrasound 20 …”

Section: Discussionmentioning

confidence: 99%

Use of intraoperative ultrasound to improve tension‐free vaginal tape‐obturator placement: A pilot study

González-Díaz

Fernández-Llamas

Corral

et al. 2023

Intl J Gynecology & Obste

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The Use of Imaging for Synthetic Midurethral Slings

Duckett

Thakar

Shah

et al. 2020

J of Ultrasound Medicine

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Ultrasound and magnetic resonance imaging can be used to image midurethral slings, which have may have complications such as pain. There is considerable misunderstanding regarding the utility of the different modalities. This article aims to review the current literature to identify the benefits and limitations of each imaging modality and identify the place that each should have for patients with midurethral sling complications. A literature search was performed, and all relevant articles were identified and reviewed. Different imaging modalities are complementary, but more research is required in this area.

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