经阴道无张力尿道中段吊带术TVT术课件.ppt

Please review the complete package insert is included in the Preceptee Binder. Please review the complete package insert is included in the Preceptee Binder. The TVT Device is a PROLENE* polypropylene mesh tape, that is covered with a plastic sheath and attached to two stainless steel introducer needles. The device when used in conjunction with the TVT Introducer and TVT Rigid Catheter Guide make up the TVT System. The Prolene mesh tape is encased in a protective plastic sheath which remains in place until placement. This sheath, and the minimal dissection involved in its placement, minimizes the risk of infection of the tape. The protected mesh attached to introducer needles ready for the application. This is a reusable instrument. . . This guide fits a standard 18 Fr Foley catheter. The guide passed into the bladder through the urethra, allows mobilization of the bladder neck and urethra away from the path of the TVT device. Patients are counseled about the potential risks and benefits of the procedure. The procedure is in most cases an ambulatory one, and complications are minimal. Risks include bleeding in the vagina or retropubic space, infection in the vagina or urinary tract, and injury of the bladder. Patients are prepared for an overnight stay, although discharge the same day is the norm. Patients are NPO for 24 hours before the procedure. Prophylactic antibiotics which cover urinary tract pathogens are administered, and aspirin and other anticoagulants are discontinued for an adequate period before surgery. Preparation includes positioning and anesthetizing the patient. The patient is draped and placed in dorsal lithotomy. Insert 18 fr catheter and empty bladder. A tension test that requires patient participation is conducted during the TVT procedure. Therefore it is recommended that the TVT procedure be preformed under local anesthesia with IV sedation. However, regional or general can be used. If it is your choice to use regional, sele