{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T21:25:09Z","timestamp":1760909109504,"version":"3.37.3"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,9,18]],"date-time":"2017-09-18T00:00:00Z","timestamp":1505692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The present study aim to compare the anatomic landmarks of two pelvic floor repair systems, in order to identify the potential neurovascular lesions related to different mesh fixation techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Abdominal and perineal dissections of 10 fresh cadavers after prolapse surgery using transobturator\/transgluteal versus single incision techniques. Neuro\u2010vascular structures of obturator region and perineum were isolated. Distances between needles and anatomical structures were measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During transobturator anterior repair, the superficial cannula passed 2.5\u2009\u00b1\u20090.6\u2009cm medially to the obturator canal. The distance of superficial arm to the anterior obturator vessels was 2.2\u2009\u00b1\u20090.4\u2009cm. The distance of deep cannula to the posterior obturator vessels branches was 1.3\u2009\u00b1\u20090.5\u2009cm. In two of these cases we observed a lesion of posterior obturator vessels. During single incision repair the distance between the obturator canal and the superficial arms was 2.3\u2009\u00b1\u20090.7. The mean distances of superficial arms to the anterior and posterior obturator vessels were, respectively, 2.3\u2009\u00b1\u20090.5\u2009cm and 3.2\u2009\u00b1\u20090.7\u2009cm. During transgluteal posterior repair the distance between the cannula guide and the ischial spine was 1.7\u2009\u00b1\u20090.5\u2009cm while it measured 2.3\u2009\u00b1\u20090.4\u2009cm when single incision posterior device was placed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Anterior transobturator system presents an increased risk of posterior obturator vessels branches injury. During posterior transgluteal repair the distance of the ischio\u2010anal fossa to sacrospinous ligament represents a way that could rule against the correct needle positioning with increased risk of pudendal lesions. Single incision approach offers an easier access to the sacrospinous ligament with lower risk of pudendal lesions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23387","type":"journal-article","created":{"date-parts":[[2017,9,18]],"date-time":"2017-09-18T16:32:39Z","timestamp":1505752359000},"page":"1024-1030","source":"Crossref","is-referenced-by-count":4,"title":["Vaginal mesh repair SYSTEMS for pelvic organ prolapse: Anatomical study comparing transobturator\/trangluteal versus single incision techniques"],"prefix":"10.1002","volume":"37","author":[{"given":"Giuseppe","family":"Campagna","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Catholic University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Panico","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Catholic University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5420-4277","authenticated-orcid":false,"given":"Andrea","family":"Morciano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Pia Fondazione \u201cCardinale G. Panico\u201d Tricase Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Gadonneix","sequence":"additional","affiliation":[{"name":"Department of Visceral and Gynaecologic Surgery Diaconesses Hospital Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Delmas","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de Recherche Universit\u00e9 Paris Descartes Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Cervigni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Catholic University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfredo","family":"Ercoli","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de Recherche Universit\u00e9 Paris Descartes Paris France"},{"name":"Department of Obstetrics and Gynecology University of Eastern Piedmont \u201cA. Avogadro\u201d Novara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Scambia","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Catholic University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00058-6"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0717-5"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e318161e6c6"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1100\/tsw.2009.19"},{"key":"e_1_2_8_6_1","unstructured":"FDA public health notification: serious complications associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse and stress urinary incontinence. Available at:http:\/\/www.fda.gov\/medicaldevices\/safety\/alertsandnotices\/publichealthnotifications\/ucm061976.htm. Date issued: October 20 2008. Page last updated: March 09 2012."},{"key":"e_1_2_8_7_1","unstructured":"FDA safety communication: UPDATE on serious com\u2010 plications associated with transvaginal placement of surgical mesh for pelvic organ prolapse. Available at:http:\/\/www.fda.gov\/medicaldevices\/safety\/alertsandnotices\/ucm262435.htm. Date issued: July 13 2011."},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgyn.2008.10.004"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.purol.2009.10.013"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0368-2315(04)96598-2"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-05206-8"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01983.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.07125.x"},{"key":"e_1_2_8_14_1","first-page":"1306","article-title":"Transobturator urethral suspension: mini\u2010invasive procedure in the treatment of stress urinary incontinence in women","volume":"11","author":"Delorme E","year":"2001","journal-title":"Prog Urol"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2003.09.003"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.5173\/ceju.2014.03.art17"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000250970.23128.63"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2008.02249.x"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2008.00820.x"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1482-4"},{"key":"e_1_2_8_21_1","first-page":"CD004014","article-title":"Surgical management of pelvic organ prolapse in women","volume":"30","author":"Maher C","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.08.005"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(01)00507-3"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(99)00418-4"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)90634-7"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.09.075"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-005-0034-1"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-007-0424-3"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.23387","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.23387","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:07:30Z","timestamp":1695571650000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.23387"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,18]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1002\/nau.23387"],"URL":"https:\/\/doi.org\/10.1002\/nau.23387","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"type":"print","value":"0733-2467"},{"type":"electronic","value":"1520-6777"}],"subject":[],"published":{"date-parts":[[2017,9,18]]}}}