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What nedle type do you use for fixation at the sacral...
Moderator(s): Amy Cassini
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12/19/2014 at 3:23:47 AM GMT
Posts: 36
What nedle type do you use for fixation at the sacral...

What needle type do you use for fixation at the sacral promontory, I have been using a small Mayo needle with prolene but this is not ideal...
By Lynsey Hayward


12/23/2014 at 7:42:41 PM GMT
Posts: 0
Hi,

For the fixation of the meshes on the sacral promontory
You tie the meshes with Tackers Absorbatck (Covidien)
You fix the meshes with a non absorbable MERSUTURE 0 or 1 fixed on S1 / S2

BD


1/8/2015 at 1:49:44 PM GMT
Posts: 7
I use the Helical Titanium Tackers. The Protack usually works well. Suturing the mesh onto the promontory is more difficult and will be very challenging if you're at the bottom of your learning curve. If you are reluctant to use metal tackers on the promontory when you are still learning the procedure - then use an absorbatack and once the mesh is attached, secure it with a permanent suture. This will make the suturing easier and prevent the mesh from moving around.


1/9/2015 at 6:52:08 PM GMT
Posts: 9
We try to avoid tackers. We have utilized a 2-0 ethibond on a SH needle for many years and have had no issues at all with placement of the needle, bleeding, or infection. I do think that Stephen's idea of the absorbatack is a good idea, especially in obese patients where visualization of the promontory is an issue, tack it first then fixate with a suture.


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