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It can be expected that the difficult needle passing through the obturator foramen may lead to complications, such as hematoma, bleeding, but it was only related to severe groin and leg pain in 32 women (6.
40,47,48,56,57) In these situations, the currently described technical approaches would likely be adequate to denervate these varied articular branches, if these branches exit through the obturator foramen and course over the teardrop silhouette described above (the junction of the pubis and ischium on an anteroposterior x-ray).
The prosthesis was disengaged from the obturator foramen and reduced.
The first trocar is inserted into the inferior obturator foramen, rotated, and guided with the surgeon's finger inserted into and held in the vaginal dissection, as shown below:
It then traveled forwards, infero-lateral to the common trunk of internal pudendal and inferior gluteal artery, it further coursed forwards and downwards lying over the ischio-coccygeal part of levator ani to reach the upper part of obturator foramen, running parallel and inferior to the obturator nerve.
As such, the potential to damage the contents of the obturator foramen, formation of adductor compartment abscess and transient inner thigh pain are associated with the TOT approach.
Polypropylene mesh was used transvaginally as mid urethral sling through the obturator foramen 'outside in' technique using special needles.
We report a case of a large ganglion cyst of the hip that extended into the pelvis through the obturator foramen.