Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/66354
Type: Artigo de periódico
Title: Experimental animal model for training transobturator and retropubic sling techniques
Author: Riccetto, CLZ
Palma, PCR
Thiel, M
Miyaoka, R
Netto, NR
Abstract: Introduction: Suburethral slings have become the treatment of choice for stress urinary incontinence. However, the lack of experimental models for surgical training is a problem for beginners. We present a model for sling training and evaluate its acceptance by surgeons who have had prior experience. Materials and Methods: There were 32 surgeons who performed the training program and filled out a questionnaire to evaluate the animal model. Eleven- month- old Santa Ines sheep were selected. The techniques used for minimally invasive transobturator and retropubic sling implantation were reproduced followed by cystoscopy. The anatomical similarities of sheep and humans were evaluated, in addition to the reproducibility of surgical techniques. Results: As far as anatomical similarities of vaginal structures are concerned, 13 surgeons ( 40.6%) reported similarities and 18 ( 56.2%) reported a strong correlation. Concerning cystoscopy, 18 ( 56.2%) found similarities and 13 ( 40.6%) a strong similarity. As for the transvaginal sling, 10 ( 3.1%) reported similarities and 19 ( 59.3%) a strong similarity. Among those who had previous experience with transobturator slings, 91.6% considered that the model presented a similarity or strong similarity. Regarding the degree of recommendation, 9 surgeons ( 28.1%) would recommend it and 22 ( 68.7%) would strongly recommend it. Conclusion: Ninety- seven percent of the surgeons would recommend this experimental model for training purposes. To our knowledge this is the first description of a successful animal model for transobturator sling training. Copyright (c) 2007 S. Karger AG, Basel.
Subject: animal model, sling training
transobturator sling technique
retropubic sling technique
Country: Suíça
Editor: Karger
Rights: fechado
Identifier DOI: 10.1159/000098070
Date Issue: 2007
Appears in Collections:Unicamp - Artigos e Outros Documentos

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.