Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2011, 155(1):75-77 | DOI: 10.5507/bp.2011.014

RISK OF HAEMORRHAGIC COMPLICATIONS OF RETROPUBIC SURGERY IN FEMALES: ANATOMIC REMARKS

Ladislav Jabureka, Jana Jaburkovab, Marek Lubuskya, Martin Prochazkaa
a Department of Obstetrics and Gynaecology, University Hospital Olomouc, Czech Republic
b Department of Anatomy, Faculty of Medicine and Dentistry, Palacky University Olomouc

Background: An anatomic study.

Objective: To point out the risk of bleeding during retropubic surgery in females.

Methods: A pelvic dissection, preparation of vessels and photodocumentation in colour.

Results: A detailed representation of topographic vessel relations in pelvic and retropubic regions is presented. This could be used as an authentic visual aid for postgraduate training in urogynaecological surgery.

Conclusion: This study highlights the risk of vascular lesions common to all suspensory surgical procedures for female stress urinary incontinence. Apart from paraurethral vessels, the vessels of the urinary bladder, the paravesical plexuses, the retropubic anastomosis and the external iliac vessles can be injured in surgery. Preceeded by training at an accredited urogynaecologic centre, TVT can be considered a safe method. Introduction of other modifications such as the transobturator system (namely the + "inside-out" method) makes all urogynaecological surgical procedures much safer.

Keywords: Urogynaecology, Retropubic surgery, Bleeding, Corona mortis, TVT

Received: September 28, 2010; Accepted: January 1, 2011; Published: March 1, 2011  Show citation

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Jaburek, L., Jaburkova, J., Lubusky, M., & Prochazka, M. (2011). RISK OF HAEMORRHAGIC COMPLICATIONS OF RETROPUBIC SURGERY IN FEMALES: ANATOMIC REMARKS. Biomedical papers, 155(1), 75-77. doi: 10.5507/bp.2011.014
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    References

    1. Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 1996;7:81-86. Go to original source... Go to PubMed...
    2. Ulmsten U, Johnson P, Rezapour M. A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Brit J Obstet Gynaecol 1999;106:345-350. Go to original source...
    3. Wang AC, Lo TS. Tension-free Vaginal Tape - A minimally Invasive Solution to Stress Urinary Incontinence in women. J Reprod Med 1998;43:429-434. Go to PubMed...
    4. Weigner K. Topograficka anatomie IV; 2nd ed. Prague: Vesmir; 1936.
    5. Dylevsky I, Ticha J. Variability of the Branches of the Arteria iliaca interna. Folia Morphol 1987;35:425-435.
    6. Tornetta P 3rd, Hochwald N, Levine R. Corona mortis. Incidence et location. Clin Orthop 1996. p. 97-101. Go to original source...
    7. Jaburkova J. Collaterals and variations of human female pelvic vessels related to gynaecological surgery. Thesis; Olomouc; 2001.
    8. Pathi SD, Castellanos ME, Corton MM. Variability of the retropubic space anatomy in female cadavers. Am J Obstet Gynecol 2009;201(5):524.e1-5. Go to original source... Go to PubMed...
    9. Kachlik D, Pechacek V, Musil V, Baca V. The venous system of the pelvis: new nomenclature. Phlebology 2010;25(4):162-73. Go to original source... Go to PubMed...
    10. Darmanis S, Lewis A, Mansoor A, Bircher M. Corona mortis: an anatomical study with clinical implications in approaches to the pelvis and acetabulum. Clin Anat 2007;20(4):433-9. Go to original source... Go to PubMed...

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