Female Prolift All-Pelvic Floor Reconstruction Of Clinical Applicated Anatomic Studies

Object:To measure the distance between Prolift all-pelvic floor reconstruction surgery 6 root trocar path and surrounding major vascularities and nerves; To make foundation for reducing the possibility of clinical of Prolift all-pelvic floor reconstruction in surgery complications that may occur.Method:Take 10 with adult women by 10% formalin antiseptic fixed specimens, Modeling Prolift all-pelvic floor reconstruction surgery 6 root catheter puncture path, rather than to anatomy, to measure the puncture and surrounding the major vascularities,nerves between the minimum distance.1. Modeling clinical former pelvic floor reconstruction when trocar process,to measure the minimum distance between the 2 root trocar and the pelvic inside and outside the obturator artery and nerve.2. Modeling clinical after pelvic floor reconstruction when trocar process, to measure the minimum distance between the trocar and the internal pudendal arteriosus head-end, pudendal nervous head-end(including the anal nerve,the perineal nerve and the clitoral nerve).Result:1. Modeling Prolift all-pelvic reconstruction of former pelvic when trocar process,to measure the minimum distance between the trocar of the shallow belt and the pelvic inside obturator artery to left and right each for 2.97±0.57 (cm) and 3.16±0.75 (cm), of the deep belt to left and right each for 257±0.52 (cm),and 2.67±0.64 (cm); to measure the minimum distance between the trocar of the shallow belt and the pelvic outside obturator nerve to left and right each for 3.21±0.59 (cm) and 3.03±0.32 (cm), of the deep belt to left andright each for 2.69±0.47 (cm) and 2.52±0.43 (cm).2. Modeling Prolift all-pelvic reconstruction of former pelvic when trocar process, to measure the minimum distance between the trocar of the shallow belt and the obturator foramen of obturator artery setm to left and right each for 1.65±0.36 (cm) and 1.54±0.42 (cm), of the deep belt to left and right each for 1.57±0.40(cm) and 1.47±0.45(cm); to measure the minimum distance between the trocar of the shallow belt and the anterior obturator artery branches to left and right each for 1.54±0.39(cm)and 1.50±0.47(cm),of the deep belt to left and right each for 1.22±0.38(cm) and 1.17±0.44(cm); to measure the minimum distance between the trocar of the shallow belt and the posterior obturator artery branches to left and right each for 1.81±0.35(cm) and 1.67±0.50(cm), of the deep belt to left and right each for 1.45±0.43(cm) and 1.43±0.42(cm).3. Modeling Prolift all-pelvic reconstruction of former pelvic when trocar process, to measure the minimum distance between the trocar of the shallow belt and the obturator foramen of anterior obturator never branches to left and right each for 1.79±0.46(cm) and 1.77±0.44(cm), of the deep belt to left and right each for 1.64±0.50(cm) and 1.51±0.42 (cm); to measure the minimum distance between the trocar of the shallow belt and the obturator foramen of posterior obturator never branches to left and right each for 1.80±0.45(cm) and 1.72±0.40(cm), of the deep belt to left and right each for 1.59±0.44(cm) and 1.58±0.42(cm).4. Modeling Prolift all-pelvic reconstruction of after pelvic when trocar process to the iliolumbar ligament, to measure the minimum distance between the trocar and the pudendal arteriosus head-end to left and right each for 1.10±0.19(cm)and 1.14±0.22(cm); to measure the minimum distance between the trocar and the anal nervous head-and to left and right each for 0.79±0.44 (cm) and 0.69±0.39 (cm); of the perineal nervous head-end to left and right each for 1.26±0.50 (cm) and 1.21±0.37 (cm); of the clitoral nervous head-end to left and right each for 1.20±0.28 (cm) and 1.21±0.26 (cm)Conclusion:1. Former pelvic revascularization, in accordance with the specifications for surgery to puncture and enter the path and fixed in the arcus tendineus fascia pelcis (ATFP) of the correct location can avoid damaging the pelvic inside obturator vascularities and nerves.2. Prior pelvic floor reconstruction, compared with the obturator area shallow belt puncture path, deep belt puncture path is easier to damage the obturator vascularities and nerves.3. After pelvic floor reconstruction,when the trocar passing iliolumbar ligament, puncture and the ischial spine of distance<2 cm, may damage the internal pudendal vascularities and nerves.