Differential diagnosis of ceacum rupture after Caesarean Section. A case report and literature review

Abstract

e117Pelvic floor disorders and urinary incontinence Poster Presentation Studying the newer TVT-O Abbrevo tape in comparison with the standard TVT-O tape for management of stress urinary incontinenceObjective: To study the newer TVT-O Abbrevo tape for management of SUI in terms of its complications and outcome compared to standard tape.Methods: All the patient who underwent TVT-O abbrevo for Stress Urinary Incontinence in the calendar year 2014 and were followed in the out patient clinic. They were studied for overall success, suboptimal outcome, complete cure and complications. The comparison was made with an Audit done in 2013 for with the standard TVT-O tape with equal number of patient.Place: Midlands Regional Hospital Mullingar Ireland Findings: We found the overall success rate of over 94% with the newer tape with fewer complications, though compared with our own previous audit with the standard tape the success rate was lower but it was not significant. The complete cure rate was as high as 89%. Both these rates were higher than the rates quoted by the tape manufacturing company (Ethicon) in their lone study mentioned on the website.Inference: The newer tape was introduced by Ethicon to reduce post operative complications by decreasing the overall length of the mesh by 38% and rightly so we saw no cases of mesh related complications with comparable outcome with the standard tape. Though the study has its limitations and it was not a controlled trial further studies can be under taken and help us care better for patients by decreasing mesh related complications and its immense implications on the medico-legal costs. http://dx.