1. Introducing a Method of In Vitro Testing of Different Anchoring Systems Used for Female Incontinence and Prolapse Surgery
Ralf Anding,1 Ruth Tabaza,1 Manfred Staat,2 Eva Trenz,2 Philipp Lohmann,2 Uwe Klinge,3 and Ruth Kirschner-Hermanns1
1 Department of Neuro-Urology, University Hospital, Rheinische Friedrich-Wilhelms-University, 53127 Bonn, Germany
2 Institute of Bioengineering, FH Aachen University of Applied Sciences, Juelich Campus, 52428 Juelich, Germany
3Department of Surgery, University Hospital RWTH Aachen, 52074 Aachen, Germany
Correspondence should be addressed to Ruth Kirschner-Hermanns; firstname.lastname@example.org
Received 21 June 2013; Revised 17 November 2013; Accepted 22 November 2013
Academic Editor: Guiming Li
Failure of adequate anchor fixation may lead to early dislocation of the devices used for incontinence as well as for prolapse surgery. This might especially be true for minislings or smallermeshes for prolapse repair.These newly developed devices rely on a stable intracorporeal fixation particularly during the procedure and in the early postoperative phase.
2. Apical Vaginal and Uterus Suspension to the Tendinous Arch of the Levator Ani and Uterosacral Ligaments by an Anchorage Device: A Proposed Method for Genital Prolapse Repair
Nicola Gasbarro,1 Antonio Malvasi,2 Emilio Moreschi,3 Andrea Tinelli4 1Unit of Obstetrics & Gynecology, Santa Maria delle Grazie Hospital, Pozzuoli (Na), Italy; 2Department of Obstetrics and Gynaecology, Santa Maria Hospital, Bari, Italy; 3 Department of Obstetrics and Gynaecology, Azienda Ospedaliera S. Camillo- Forlanini, Rome, Italy; 4Department of Obstetrics and Gynaecology, Vito Fazzi Hospital, Lecce, Italy Submitted January 7, 2011 - Accepted for Publication February 27, 2011
This is a preliminary evaluation of a new surgical technique. Although the results are very positive,
the number of cases was small and the follow-up was limited to 6 months. We recommend that this technique
be performed by experienced surgeons who are capable of shifting from similar methods. Expanded trials with
longer follow-up are needed to compare TALA Suspension to other prolapse repair techniques.
3. MINI-SLINGS: WHAT IS KNOWN ABOUT ANCHORAGE SYSTEMS?
Gadjiev N1, Tabaza R2, Kirschner-Hermanns R3
1. The Nikifiorov All-Russian Center of Emergency and Radiation Medicine,
2. Clinic of Urology, Continence Clinic, University Clinic Aachen,
3. Clinic of Urology, University Clinic Aachen
Our testing clearly revealed significant differences between different anchorage systems in their ability to keep implants in place. In combination with testing in especially designed ballistic gelatine, we present a good model for testing different anchorage systems in vitro and in vivo. However we still have to define the biomechanical requirements for keeping devices in place during the surgical procedures as well as in the early postoperative period.