Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/35293
Type: Artigo de periódico
Title: Arc-to-arc mini-sling 1999: a critical analysis of concept and technology
Author: Palma, Paulo
Abstract: PURPOSE: The aim of this study was to critically review the Arc-to-Arc mini-sling (Palma's technique) a less invasive mid-urethral sling using bovine pericardium as the sling material. MATERIALS AND METHODS: The Arc-to-Arc mini-sling, using bovine pericardium, was the first published report of a mini-sling, in 1999. The technique was identical to the tension-free tape operation, midline incision and dissection of the urethra. The ATFP (white line) was identified by blunt dissection, and the mini-sling was sutured to the tendinous arc on both sides with 2 polypropylene 00 sutures. RESULTS: The initial results were encouraging, with 9/10 patients cured at the 6 weeks post-operative visit. However, infection and extrusion of the mini-sling resulted in sling extrusion and removal, with 5 patients remaining cured at 12 months. CONCLUSION: The Arc-to-Arc mini-sling was a good concept, but failed because of the poor technology available at that time. Further research using new materials and better technology has led to new and safer alternatives for the management of stress urinary incontinence.
Subject: urinary incontinence
stress
sling
arc-to-arc mini-sling
bovine pericardium
Editor: Sociedade Brasileira de Urologia
Rights: aberto
Identifier DOI: 10.1590/S1677-55382011000200012
Address: http://dx.doi.org/10.1590/S1677-55382011000200012
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382011000200012
Date Issue: 1-Apr-2011
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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