Complications of three sacrospinous ligament fixation techniques

Abstract

Passing the suture through the sacrospinous ligament under direct visualization may result in less intra and postoperative complications.

Sacrospinous ligament fixation for prevention and treatment of vaginal vault prolapse: a retrospective study of 45 cases

“…According to Pollak et al the intra as well as post-operative complication were less with direct visualisation technique (2%) when compared to Dischamps clamp. 13 According to RCOG/BSUG joint guideline 1stJuly 2015, SSLF should be considered at the time of vaginal hysterectomy when the vault descends to the introitus during closure.…”

Sacrospinous fixation for prevention and treatment of vault prolapse: institutional experience from South India

“…The success rate of 92-97% in literature. [6][7][8][9] All patients in this series were included following disease specific validated quality of life questionnaires, assessment of symptoms and impact of the condition and examination is made according to quantifying tools such as POPQ. Assessment for stress incontinence was done in partially full bladder after reducing the prolapse with sponge holder.…”

“…Placing the sutures at an arbitrary fixed point (1.5-2.0 cm) medial to the ischial spine could not be justified. Pollak et al (2007) compared the complications of the techniques used to pass suture through Sacrospinous Ligament (SSL), concluded that passing the suture through SSL under direct visualization may result in less intra and postoperative complications. 8 There is an increase in incidence of anterior vaginal wall prolapse following SSLF due to exaggerated retroversion of vagina.…”

“…Pollak et al (2007) compared the complications of the techniques used to pass suture through Sacrospinous Ligament (SSL), concluded that passing the suture through SSL under direct visualization may result in less intra and postoperative complications. 8 There is an increase in incidence of anterior vaginal wall prolapse following SSLF due to exaggerated retroversion of vagina. The two procedures which are being evaluated for the prevention and treatment of vault prolapsed are abdominal sacrocolpopexy and sacrospinous fixation.…”

A new reusable suturing device for vaginal sacrospinous fixation: feasibility and safety study

“…techniques have been suggested over the years to overcome these problems [11]. Some surgeons elected to implant meshes for the reinforcement of the weakened and herniated pelvic floor.…”